| Nathan Annop Mahanirananda, PA-C | |
|
2813 W Southlake Blvd Ste 100, Southlake, TX 76092-6832 | |
| (817) 310-8783 | |
| Not Available |
| Full Name | Nathan Annop Mahanirananda |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 2813 W Southlake Blvd Ste 100, Southlake, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952805848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA11879 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Southlake Hospital | Southlake, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Spine Solutions Pa | 9739265539 | 2 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Annop Mahanirananda, PA-C 12 Branch Rd, Oakhurst, NJ 07755-1026 Ph: () - | Nathan Annop Mahanirananda, PA-C 2813 W Southlake Blvd Ste 100, Southlake, TX 76092-6832 Ph: (817) 310-8783 |
Micah Christian Bowman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2419 W Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 469-535-6842 | |
Lauren Ashley Langeberg, Physician Assistant Medicare: Medicare Enrolled Practice Location: 505 S Nolen Dr Ste B, Southlake, TX 76092 Phone: 817-410-7777 | |
Christine D Lawson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3065 W Southlake Blvd # 140, Southlake, TX 76092 Phone: 817-380-5911 Fax: 817-385-6579 | |
Elizabeth Williams, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 560 N Kimball Ave, Ste 100, Southlake, TX 76092 Phone: 817-488-6205 | |
Halie Annette Moreno, PA-C, MPAS, MPH Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 W Southlake Blvd Ste 420, Southlake, TX 76092 Phone: 870-918-2463 | |
Melissa Wedesky, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1130 N Kimball Ave Ste 100, Southlake, TX 76092 Phone: 817-865-3564 | |
Kristi Lee West, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6026 |