Provider Demographics
NPI:1881917789
Name:ENGELMAN, NATALIE K (PA-C)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:K
Last Name:ENGELMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:K
Other - Last Name:BERNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2301 S HAMPTON RD
Mailing Address - Street 2:SUITE 900
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75224-1650
Mailing Address - Country:US
Mailing Address - Phone:214-330-9201
Mailing Address - Fax:214-339-9577
Practice Address - Street 1:2301 S HAMPTON RD
Practice Address - Street 2:SUITE 900
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75224-1650
Practice Address - Country:US
Practice Address - Phone:214-330-9201
Practice Address - Fax:214-339-9577
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-05
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA06643363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant