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

Mary Ingeborg Kvinta, PA-C

Individual provider Physician Assistant · NPI 1407588809

Mary Ingeborg Kvinta, PA-C is a Physician Assistant in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2022.

Licensed in
TX
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

431 E State Highway 114 Ste 120
Southlake, TX 76092-4416
Phone: (682) 651-8181
Fax: (817) 812-2868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA16530 (TX)

Record details

NPI number1407588809
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 26, 2022
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

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