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

Individual provider Surgical Physician Assistant · NPI 1578316188

Travis Tadashi Kannarr, PA-C is a Physician Assistant in Fort Worth, Texas. Qualified in 2024, 2 years ago. Practices with Texas Health Physicians Group, a 1,356-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2024
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

800 5th Ave Ste 500
Fort Worth, TX 76104-7304
Phone: (817) 250-4280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2690 — (817) 735-2000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA18044 (TX)

Record details

NPI number1578316188
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 11, 2024
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Texas Health Physicians Group — 1356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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