Paulina Purnama, PA-C

Physician assistant in Fort Worth, Texas · NPI 1275724981

Paulina Purnama is one of 509 physician assistants practicing in Fort Worth, Texas. Paulina Purnama practices with Southlake Orthopedics And Sports Medicine PLLC.

Registry record (NPPES)

NPI
1275724981
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant, Surgical · 363AS0400X
Address on file
800 12th Ave Ste 200
Fort Worth, TX 76104-2519
(214) 631-9881
Enumerated
Aug 7, 2007
Record last updated
May 3, 2025
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Physician Assistant
Revalidation due
No date set by CMS

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Practice locations

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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.