# DYNAMIC RPA HEALTHCARE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DYNAMIC RPA PRACTICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295968758
- **Authorized official:** MR. CHRISTOPHER A INEAMA PA (PROVIDER)
- **Authorized official phone:** (817) 294-9600

## Contact information

- **Practice address:** 6901 MCCART AVE, 200, FORT WORTH, TX 76133-6377
- **Practice address phone:** (817) 294-9600
- **Practice address fax:** (817) 294-9611
- **Mailing address:** 6901 MCCART AVE, 200, FORT WORTH, TX 76133-6377
- **Mailing address phone:** (817) 294-9600
- **Mailing address fax:** (817) 294-9611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | D6175 | TX | — |
| 208800000X | Urology Physician | D6175 | TX | — |
| 208D00000X | General Practice Physician | D6175 | TX | Yes |
| 363A00000X | Physician Assistant | PA05609 | TX | — |
| 363AM0700X | Medical Physician Assistant | PA05609 | TX | — |

## Other

- **Enumeration date:** 09/01/2009
- **Last updated:** 03/11/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1063601300 | NPI | TX |
| 01 | — | PA05609 | PA LICENSE | TX |