Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Natalia Handrayani Tan, PA-C

Individual provider Physician Assistant · NPI 1851674998

Natalia Handrayani Tan, PA-C is a Physician Assistant in Fort Worth, Texas. Qualified in 2011, 15 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
15
Licensed in
TX
In the registry since
2011
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

1325 Pennsylvania Ave Ste 890
Fort Worth, TX 76104-2145
Phone: (817) 250-4280
Fax: (817) 250-4281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA07379 (TX)
Physician Assistant Taxonomy 363A00000X · Licence PA07379 (TX)

Record details

NPI number1851674998
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 26, 2011
Last updated in NPPESApril 6, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations13 on file with Medicare

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