Individual provider Active NPI

Raymond Kwan, PA

  • Physician Assistant
  • Denton, TX
National Provider Identifier
1215332218
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09437 Issued in TX
Practice address
3301 Unicorn Lake Blvd
Denton, TX 76210-0102
Phone
(940) 383-1578
NPI assigned
Nov 3, 2014
Last updated
Nov 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09437 TX Primary

Addresses

Primary practice location

3301 Unicorn Lake Blvd
Denton, TX 76210-0102

Mailing address

3301 Unicorn Lake Blvd
Denton, TX 76210-0102
Phone (940) 383-1578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150129001951 TX Practitioner - Physician Assistant 2961726567 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brady Medical Group PLLCGroup PAC ID 1951843440, 7 clinicians

Practice addresses (Care Compare)

12770 Coit Rd
Suite 1200
Dallas, TX 75251-1413
Phone (844) 409-4657

1833 Cannon Dr
Mansfield, TX 76063-3482
Phone (844) 409-4657

2443 S Galveston Ave
Pearland, TX 77581-4222
Phone (844) 409-4657

3201 Medpark Dr
Denton, TX 76208-6932
Phone (844) 409-4657

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince May 14, 2018 Accepting new patients
Healthtexas Provider Network CurrentSince May 14, 2018 Accepting new patients
Texas Health Physicians Group CurrentSince Dec 1, 2020 Accepting new patients
Brady Medical Group PLLC CurrentSince Feb 10, 2025 Accepting new patients
Texas Health Physicians Group CurrentSince Dec 1, 2020 Accepting new patients
Medical & Surgical Clinic of Irving, P.a. Past Accepting new patients

Locations

409 Central Park Dr
Arlington, TX 76014
Phone (817) 261-9191

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

12770 Coit Rd
Ste 1200
Dallas, TX 75251

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

5477 Glen Lakes Dr
Ste 100
Dallas, TX 75231
Phone (214) 361-2277

3301 Unicorn Lake Blvd
Denton, TX 76210
Phone (940) 383-1578

3800 Gaylord Pkwy
Ste 1190
Frisco, TX 75034
Phone (214) 919-3862

2021 N MacArthur Blvd
Ste 150
Irving, TX 75061
Phone (972) 253-2560

2021 N MacArthur Blvd
Ste 350
Irving, TX 75061
Phone (972) 817-1600

6031 Connection Dr
Ste 100
Irving, TX 75039
Phone (469) 331-9629

6700 Alma Rd
Ste 400
McKinney, TX 75070
Phone (469) 663-0515

2443 S Galveston Ave
Pearland, TX 77581
Phone (281) 485-4829

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1215332218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 UNICORN LAKE BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100102",
            "telephone_number": "940-383-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 UNICORN LAKE BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100102",
            "telephone_number": "940-383-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "RAYMOND",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-03",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.