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FANTA SUWANEH PA
NPI 1497340228
Physician Assistant in Grapevine, TX

Active since March 03, 2021
3801 WILLIAM D TATE AVE # 800A, GRAPEVINE, TX 76051(817) 488-8998 Get Directions Write a Review

NPPES record last updated: September 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2021, Mar 3, 2021 (2 updates tracked since 2021).

About Fanta Suwaneh Pa NPPES

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

FANTA SUWANEH PA (NPI 1497340228) is an individual physician assistant in Grapevine, Texas and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1497340228
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameFANTA SUWANEHCredential: PA
Location Address3801 WILLIAM D TATE AVE # 800AGrapevine, TX 76051-8755
Mailing Address3801 William D Tate Ave # 800aGrapevine, TX 76051-8755 · (817) 488-8998
Phone(817) 488-8998
Sole ProprietorYes
Enumeration DateMarch 3, 2021
Last NPPES UpdateSeptember 18, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2021
✔ NPI 1497340228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
3801 WILLIAM D TATE AVE # 800A, Grapevine, TX 76051
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Other Providers at the Same Location NPPES 2

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

PATRICIA CARRASCO PSY.D
Psychologist
3801 WILLIAM D TATE AVE # 800A
GRAPEVINE, TX 76051
Tarrant County (817) 488-8998
MR. JEFFREY DUANE ROSS
Counselor (Mental Health)
3801 WILLIAM D TATE AVE # 800A
GRAPEVINE, TX 76051
Tarrant County (817) 488-8998

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 Fanta Suwaneh's NPI number?

The NPI number for Fanta Suwaneh is 1497340228. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Fanta Suwaneh located?

Fanta Suwaneh practices at 3801 William D Tate Ave # 800A, Grapevine, TX 76051. The listed phone number is (817) 488-8998.

What is Fanta Suwaneh'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 Fanta Suwaneh was last updated on September 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.