P Praxis·MD
● Active Type 1 · Individual

Maria Pham Ravanzo, PA

Physician Assistant·Fort Worth, TX· NPI 1366630675 · Enumerated 2007 · 18 years on NPI
Ravanzo is 1 of 599 physician assistant providers in Fort Worth and 1 of 11022 in Texas.
NPI age
18 years
Enumerated 2007-10-11
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-11-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 11022 active physician assistant providers in Texas.

NPI age
18 years
↑ 8 yr above median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-10Enumerated in NPPES
2007 2026

Where they practice

Practice location
816 W Cannon St
Fort Worth, TX 761043146
📞 8173210937
Mailing address
815 Pennsylvania Ave
Fort Worth, TX 761042224
📞 8173210937

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    TX license #PA04412 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.

Recently enumerated nearby: 14 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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