Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Ann Tanase, PA-C

Individual provider Physician Assistant · NPI 1033783212

Kelly Ann Tanase, PA-C is a Physician Assistant in Dallas, Texas. Works from 4 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

12606 Greenville Ave Ste 185
Dallas, TX 75243-1921
Phone: (469) 364-7880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 515 W Mayfield Rd Ste 210, Arlington, TX 76014-4596 — (817) 375-5847
  • 5919 Birchbrook Dr Apt 119, Dallas, TX 75206-4515 — (972) 922-2145
  • 3141 E Broad St Ste 321, Mansfield, TX 76063-6439 — (817) 375-5847

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA14670 (TX)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1033783212
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 13, 2021
Last updated in NPPESSeptember 30, 2022
Certification dateSeptember 29, 2022

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