Tanya Kidandi is one of 876 nurse practitioners practicing in Fort Worth, Texas .
Tanya Kidandi practices with Texas Health Physicians Group.
Registry record (NPPES)
NPI
1104294875
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Address on file
1325 Pennsylvania Ave Ste 560
Enumerated
Sep 10, 2015
Record last updated
Oct 9, 2024
License states listed
TX, WI
Medicare (CMS)
Enrollment
Medicare-enrolled in IL, TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
1325 Pennsylvania Ave Suite 560Fort Worth , TX 76104
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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