Organization
PPG HEALTH, PA
Active
Other names
Tarrant Nephrology Associates, Longevity Bariatric and Wellness, Texas Cardiovascular Institute, Tarrant Nephrology Associates, Primary Care Associates of Texas, Premier Obstetrics & Gynecology, North Texas Endocrine Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PONNIAH S SANKARAPANDIAN MD (PRESIDENT/CEO)
(817) 877-5858
Entity
Organization
Contact information
Practice address
1000 W CANNON ST, FORT WORTH, TX 76104-3029
(817) 877-5858
(817) 335-4418
Mailing address
1000 W CANNON ST, FORT WORTH, TX 76104-3029
(817) 877-5858
(817) 335-4418
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
207RT0003X
Transplant Hepatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00QQ28
BLUE CROSS
TX
05
—
084560401
—
TX
05
—
084560402
—
TX
Enumeration date
08/03/2005
Last updated
04/02/2025
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