Healthcare Provider Details

I. General information

NPI: 1346921863
Provider Name (Legal Business Name): NAVJIT SEKHON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2023
Last Update Date: 02/22/2024
Certification Date: 02/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5450 CLEARFORK MAIN ST STE 200
FORT WORTH TX
76109-3562
US

IV. Provider business mailing address

6586 W GIBSON AVE
FRESNO CA
93723-4076
US

V. Phone/Fax

Practice location:
  • Phone: 817-789-6770
  • Fax:
Mailing address:
  • Phone: 559-269-9167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA17506
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: