P Praxis·MD
● Active Type 1 · Individual

Paulina Purnama, PA-C

Physician Assistant·Fort Worth, TX· NPI 1275724981 · Enumerated 2007 · 18 years on NPI
Purnama is 1 of 76 physician assistant providers in Fort Worth and 1 of 1890 in Texas.
NPI age
18 years
Enumerated 2007-08-07
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-05-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1890 active physician assistant providers in Texas.

NPI age
18 years
↑ 7 yr above median (11 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-08Enumerated in NPPES
2007 2026

Where they practice

Practice location
800 12th Ave Ste 200
Fort Worth, TX 761042519
📞 2146319881fax 4694822526
Mailing address
800 12th Ave Ste 200
Fort Worth, TX 761042519
📞 2146319881fax 4694822526

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1149 Keller Pkwy Ste A
Keller, TX 762481620
📞 2146319881fax 4694822526

Specialties

  • Physician Assistant Primary
    Definition to come...
    TX license #PA11021 taxonomy 363AS0400X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new physician assistant providers have been added in Fort Worth in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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