Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUGUSTINE NUBEA FOMBON
Active Sole ProprietorAUGUSTINE NUBEA FOMBON is a Physical Therapy Clinic healthcare provider located in GRAND PRAIRIE, Texas. NPI 1033754890 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Clinic · GRAND PRAIRIE, TX
Registration Details
- NPI Number
- 1033754890
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 14, 2019 (6.769595395511 yrs)
- Last Updated
- Oct 27, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
601 S GREAT SOUTHWEST PKWY STE 106GRAND PRAIRIE, TX, 750511057Browse TX providers · Browse ZIP 75051
- Phone
- 2147189593
- Primary Specialty
-
Physical Therapy Clinic
261QP2000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.