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

Maria Pham Ravanzo, PA

Individual provider Physician Assistant · NPI 1366630675

Maria Pham Ravanzo, PA is a Physician Assistant in Fort Worth, Texas. Qualified in 2004, 22 years ago. Practices with Radiology Associates of North Texas PA, a 341-clinician group and offers telehealth. Licensed in Texas.

Years since qualifying
22
Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

816 W Cannon St
Fort Worth, TX 76104-3146
Phone: (817) 321-0937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA04412 (TX)

Record details

NPI number1366630675
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 11, 2007
Last updated in NPPESNovember 25, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Radiology Associates Of North Texas Pa — 341 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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