Equinox Clinic PLLC
NPI 1902259385ActiveOrganization· Physician Assistant· Fort Worth, TX
Physician Assistant in Fort Worth, Texas, registered in NPPES in July 2016. The authorized official on file is Andrew Albert Indresano, Md.
Overview
| NPI | 1902259385 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 20, 2016 |
| Last updated in NPPES | Dec 6, 2024 |
| Certified by provider | Dec 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine | 207XS0117X | — | TX |
| Physician Assistant, Surgical | 363AS0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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