EQUINOX CLINIC PLLC NPI 1902259385

NPI Information

  • NPI: 1902259385
  • Provider Name: EQUINOX CLINIC PLLC
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Organization
  • Address: 3160 N TARRANT PKWY STE 404
    FORT WORTH, TX
    ZIP 76177
  • Phone: (972) 707-0005

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NPI Details

EQUINOX CLINIC PLLC is a physician assistant in Fort Worth, TX. The provider is 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. EQUINOX CLINIC PLLC NPI is 1902259385. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3160 N TARRANT PKWY STE 404
FORT WORTH, TX
ZIP 76177-614
Phone: (972) 707-0005

The provider's authorized official is Andrew Albert Indresano .
The authorized official title is Md and has the following contact phone number (972) 707-0005.

The enumeration date for this NPI number is 7/20/2016 and was last updated on 12/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineTEXASNo
2363A00000XPhysician AssistantYes
3363AS0400XPhysician AssistantSurgicalNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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