Individual provider Active NPI

Tesa Rena Dunn-Urbonas, PA-C

  • Physician Assistant
  • Pearland, TX
National Provider Identifier
1346588308
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07602 Issued in TX
Practice address
3129 Kingsley Dr Ste 1730
Pearland, TX 77584-8511
Phone
(832) 947-3562
Fax
(832) 947-1117
NPI assigned
Jan 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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 PA07602 TX Primary

Addresses

Primary practice location

3129 Kingsley Dr Ste 1730
Pearland, TX 77584-8511

Mailing address

3705 Arborlawn Dr
Fort Worth, TX 76109-3304
Phone (817) 991-8700

Other practice location 1

928 Lipscomb St
3705 Arborlawn Dr.
Fort Worth, TX 76104-3158
Phone (817) 348-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA07602TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pearland Psychiatry, PA CurrentSince Aug 7, 2022 Accepting new patients

Locations

3129 Kingsley Dr
Ste 1730
Pearland, TX 77584
Phone (832) 947-3562

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1359158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1346588308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 ARBORLAWN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093304",
            "telephone_number": "817-991-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 KINGSLEY DR STE 1730",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848511",
            "telephone_number": "832-947-3562",
            "fax_number": "832-947-1117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "928 Lipscomb St",
            "address_2": "3705 Arborlawn Dr.",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043158",
            "country_code": "US",
            "telephone_number": "817-348-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNN-URBONAS",
        "first_name": "TESA",
        "middle_name": "RENA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-26",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.