ELIZABETH MARIE FATA PA-C
NPI 1396502068
Physician Assistant in Richardson, TX

Active since February 29, 2024
3001 E PRESIDENT GEORGE BUSH HWY STE 210, RICHARDSON, TX 75082(469) 913-9400(469) 913-9420 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 19, 2026, Apr 24, 2024 (2 updates tracked since 2024).

About Elizabeth Marie Fata Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH MARIE FATA PA-C (NPI 1396502068) is an individual physician assistant in Richardson, Texas, licensed in Texas (PA17962) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1396502068
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELIZABETH MARIE FATACredential: PA-C
Location Address3001 E PRESIDENT GEORGE BUSH HWY STE 210Richardson, TX 75082-3552
Mailing Address3001 E President George Bush Hwy Ste 210Richardson, TX 75082-3552 · (469) 913-9400 · Fax (469) 913-9420
Fax(469) 913-9420
Sole ProprietorNo
Enumeration DateFebruary 29, 2024
Last NPPES UpdateMay 19, 20262 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
NPI 1396502068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA17962
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3001 E PRESIDENT GEORGE BUSH HWY STE 210, Richardson, TX 75082

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Interventional Cardiology)
3001 E PRESIDENT GEORGE BUSH HWY STE 210
RICHARDSON, TX 75082
Internal Medicine (Interventional Cardiology)
3001 E PRESIDENT GEORGE BUSH HWY STE 210
RICHARDSON, TX 75082
Nurse Practitioner (Acute Care)
3001 E PRESIDENT GEORGE BUSH HWY STE 210
RICHARDSON, TX 75082
Physician Assistant
3001 E PRESIDENT GEORGE BUSH HWY STE 210
RICHARDSON, TX 75082
Physician Assistant (Medical)
3001 E PRESIDENT GEORGE BUSH HWY STE 210
RICHARDSON, TX 75082

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396502068, enumerated as an "individual" on February 29, 2024.

The provider is located at 3001 E PRESIDENT GEORGE BUSH HWY STE 210 RICHARDSON, TX 75082 and the phone number is (469) 913-9400.

Physician Assistant with taxonomy code 363A00000X.