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

Individual provider Physician Assistant · NPI 1205464138

Niranjan Kc, PA-C is a Physician Assistant in Southlake, Texas. Qualified in 2019, 7 years ago. Practices with Doctx3 PLLC, a 83-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2020
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

2419 W Southlake Blvd Ste 100
Southlake, TX 76092-1506
Phone: (469) 535-6842
Fax: (817) 809-2661
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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 PA13549 (TX)

Record details

NPI number1205464138
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESMarch 27, 2020
Certification dateMarch 27, 2020
Mailing address5040 Addison Cir Ste 400, Addison, TX 75001-6049

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Doctx3 Pllc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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