Dallas Nazar, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15556 Issued in TX

Practice address

4200 South Fwy Ste 100
Fort Worth, TX 76115-1407

Phone

(817) 750-7334

NPI assigned

Dec 6, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pediatric Urgent Care Center of Fort Worth, P.a..

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1851668149
  NPD
• Telemedicine Advantage Concierge Urgent Care

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1376165191
  NPD
• Little Spurs Pediatric Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1780673319
  NPD (past)

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1679284160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 SAN PEDRO AVE STE 412",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322009",
            "telephone_number": "210-281-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SOUTH FWY STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761151407",
            "telephone_number": "817-750-7334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3166 S State Highway 161 Ste 170",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750527720",
            "country_code": "US",
            "telephone_number": "972-212-6668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAZAR",
        "first_name": "DALLAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-06",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Nava, OTR/L
• Latha Navara, MD
• Javeria Naveed, MD
• Navjot Bajwa MD PA
• Rupa Nayee, CO
• Zohra Nazarali, NP-C
• Michael Nazarian, M.D.
• Natalie Jeanne Nazer Cosby
• Asad Nazim, DO
• Nconcepts, LLC

• Physician Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.