MARY INGEBORG KVINTA PA-C
NPI 1407588809
Physician Assistant in Southlake, TX

Active since June 26, 2022
431 E STATE HIGHWAY 114 STE 120, SOUTHLAKE, TX 76092(682) 651-8181(817) 812-2868 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Ingeborg Kvinta Pa-c NPPES

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

MARY INGEBORG KVINTA PA-C (NPI 1407588809) is an individual physician assistant in Southlake, Texas, licensed in Texas (PA16530) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1407588809
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY INGEBORG KVINTACredential: PA-C
Location Address431 E STATE HIGHWAY 114 STE 120Southlake, TX 76092-4416
Mailing Address431 E State Highway 114 Ste 120Southlake, TX 76092-4416 · (682) 651-8181 · Fax (817) 812-2868
Fax(817) 812-2868
Sole ProprietorNo
Enumeration DateJune 26, 2022
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
NPI 1407588809 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 · PA16530
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.

431 E STATE HIGHWAY 114 STE 120, Southlake, TX 76092

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.

Pain Medicine (Interventional Pain Medicine)
431 E STATE HIGHWAY 114 STE 120
SOUTHLAKE, TX 76092
Pain Medicine (Interventional Pain Medicine)
431 E STATE HIGHWAY 114 STE 120
SOUTHLAKE, TX 76092
Pain Medicine (Interventional Pain Medicine)
431 E STATE HIGHWAY 114 STE 120
SOUTHLAKE, TX 76092
Nurse Practitioner
431 E STATE HIGHWAY 114 STE 120
SOUTHLAKE, TX 76092
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
431 E STATE HIGHWAY 114 STE 120
SOUTHLAKE, TX 76092

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Kvinta's NPI number?

The NPI number for Mary Kvinta is 1407588809. It was assigned to this individual provider in the NPPES registry on June 26, 2022.

Where is Mary Kvinta located?

Mary Kvinta practices at 431 E State Highway 114 Ste 120, Southlake, TX 76092. The listed phone number is (682) 651-8181.

What is Mary Kvinta's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mary Kvinta was last updated on January 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.