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

Tiffany Vangundy, MPAS

Individual provider Physician Assistant · NPI 1740630987

Tiffany Vangundy, MPAS is a Physician Assistant in Mansfield, Texas. Qualified in 2016, 10 years ago. Practices with Mansfield Dermatology, PLLC, a 10-clinician group and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2016
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Practice location Address checks out

130 Regency Pkwy
Mansfield, TX 76063-5167
Phone: (817) 261-1122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1740630987
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPAS
Sole proprietorNo
NPI enumeratedJune 19, 2016
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mansfield Dermatology, Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mansfield