P Praxis·MD
● Active Type 1 · Individual

Natalia Handrayani Tan, PA-C

Physician Assistant·Fort Worth, TX· NPI 1851674998 · Enumerated 2011 · 14 years on NPI
Tan is 1 of 76 physician assistant providers in Fort Worth and 1 of 1890 in Texas.
NPI age
14 years
Enumerated 2011-09-26
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-04-06
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
14 years
↑ 3 yr above median (11 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-09Enumerated in NPPES
2011 2026

Where they practice

Practice location
1325 Pennsylvania Ave Ste 890
Fort Worth, TX 761042145
📞 8172504280fax 8172504281
Mailing address
1325 Pennsylvania Ave Ste 890
Fort Worth, TX 761042145
📞 8172504280fax 8172504281

Specialties

  • Physician Assistant Primary
    Definition to come...
    TX license #PA07379 taxonomy 363AS0400X
  • Physician Assistant
    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 #PA07379 taxonomy 363A00000X

Identifiers

TypeValueNotes
05 (TX) 285353305
05 (TX) 285353306

Practice context

Part of a multi-provider practice. 19 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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