MEDICARE: SUNITA KAUR NAGI PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA06871	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437464385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUNITA KAUR NAGI PA

Provider Business Mailing Address
First Line	:	PO BOX 630823
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-0136
Country	:	US
Telephone Number	:	214-673-5484
Fax Number	:

Provider Business Practice Location Address
First Line	:	3109 6TH AVE STE B
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76110-3800
Country	:	US
Telephone Number	:	682-312-7339
Fax Number	:	817-288-0958

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2010
Last Update Date	:	05/01/2024

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Directions to “ SUNITA KAUR NAGI PA” Practice Location

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