Kelly Ann Tanase, PA-C

NPI #1033783212 in Dallas, Texas

Provider Information

NPI Number
1033783212
Entity Type
Individual
Name
Kelly Ann Tanase, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
May 13, 2021
Last Updated
Sep 30, 2022

Practice Location

Address
12606 GREENVILLE AVE STE 185
City
Dallas
State
Texas
ZIP Code
75243-1921
Phone
(469) 364-7880

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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