Tangerinemed Pllc

NPI #1588539548 in Dallas, Texas

Provider Information

NPI Number
1588539548
Entity Type
Organization
Organization Name
Tangerinemed Pllc
Primary Specialty
Physician Assistant
Enumeration Date
Oct 9, 2025
Last Updated
Oct 9, 2025

Practice Location

Address
5473 BLAIR RD STE 100
City
Dallas
State
Texas
ZIP Code
75231-4227
Phone
(689) 306-1612

Authorized Official

Name
LILLY MICHAEL, PA-C
Title
CEO
Phone
(214) 517-9771

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