Provider Demographics
NPI:1821716218
Name:PARIKH, MANSI (PA-C)
Entity type:Individual
Prefix:
First Name:MANSI
Middle Name:
Last Name:PARIKH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 737786
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-7786
Mailing Address - Country:US
Mailing Address - Phone:832-286-5705
Mailing Address - Fax:
Practice Address - Street 1:1014 E WHEATLAND RD STE A
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-4914
Practice Address - Country:US
Practice Address - Phone:214-550-2330
Practice Address - Fax:214-550-2331
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA18533363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant