VICTOR N FOMBO (NPI# 1326645961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326645961 |
| Entity Type | Individual |
| Full Name | VICTOR N FOMBO |
| Credential | NP |
| Practice Address |
1333 W Mcdermott Dr Ste 150 Allen TX 75013-3088 |
| Mailing Address |
9841 Shallow Creek Dr Waco TX 76708-6199 |
| Practice Telephone | 2147443361 |
| Mailing Telephone | 2544951804 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
24179378 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1333 W MCDERMOTT DR STE 150 |
| City | ALLEN |
| State | TX |
| Zip Code | 75013-3088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285915538 | Erica Stephanie Jowett Hirst | Behavioral Analyst | 1333 W Mcdermott Dr Ste 150, Allen, TX 75013-3088 | 2011-08-31 |
| 1093331944 | Haleh Banani | Counselor | 1333 W Mcdermott Dr Ste 150, Allen, TX 75013-3088 | 2020-06-17 |
| 1760010086 | Kacie Cheairs | Counselor | 1333 W Mcdermott Dr Ste 150, Allen, TX 75013-3088 | 2020-03-31 |
| 1417585738 | Marlaina Mueller | Counselor | 1333 W Mcdermott Dr Ste 150, Allen, TX 75013-3088 | 2020-03-31 |
| 1750941118 | Doctor Mom Pllc | Family Medicine | 1333 W Mcdermott Dr Ste 150, Allen, TX 75013-3088 | 2019-06-18 |
| 1518316793 | Njideka Domrufus | Nurse Practitioner | 1333 W Mcdermott Dr Ste 150, Allen, TX 75013-3088 | 2016-06-08 |
| 1689011306 | Angela Joyce Cathey | Counselor | 1333 W Mcdermott Dr Ste 150, Allen, TX 75013-3088 | 2013-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059230 | Alla Al-habib Md Pllc | Psychiatry & Neurology | 981 Sh 121, Suite 3100, Allen, TX 75013 | 2020-09-25 |
| 1457968430 | Park Ventura Endoscopy Center, LLC | Clinic/Center | 981 State Highway 121, Suite 2100, Allen, TX 75013 | 2020-09-24 |
| 1689288342 | Nortex Medical Group | General Practice | 981 State Highway 121 Ste 4150, Allen, TX 75013 | 2020-09-01 |
| 1417569807 | Navaneetha Brindha Natchimuthu Dds, Pllc | Dentist | 880 W Exchange Parkway, Building A, Suite 140, Allen, TX 75013 | 2020-08-18 |
| 1225647423 | Fivestar Pulmonary Associates Pllc | Internal Medicine | 981 State Hwy 121, Ste 3100, Allen, TX 75013 | 2020-07-24 |
| 1497363741 | Pharmestate LLC | Pharmacy | 317 Central Expressway North, Allen, TX 75013 | 2020-07-22 |
| 1265063002 | Paul-douglas Walters | Clinic/Center | 1101 Raintee Circle, Suite 130, Allen, TX 75013 | 2020-01-30 |
| 1043840069 | Thrive Dental Allen Pllc | Dentist | 1010 W Exchange Pkwy, #130, Allen, TX 75013 | 2020-01-17 |
| 1023578952 | Keri Owens | In Home Supportive Care | 1823 Valencia Drive, Allen, TX 75013 | 2019-03-25 |
| 1639636939 | The Children's Dentist of Allen | Dentist | 261 W. Exchange Pkwy., Allen, TX 75013 | 2019-02-23 |
| Find all providers in zip 75013 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265070288 | Sharon Sama | Nurse Practitioner | 659 Junction Dr Apt D434, Allen, TX 75013-5143 | 2019-12-20 |
| 1669019006 | Regina Jing | Nurse Practitioner | 828 Water Oak Dr, Allen, TX 75002-6370 | 2019-12-04 |
| 1912569229 | Jaime Thompson | Nurse Practitioner | 1774 W Mcdermott Dr, Suite 150, Allen, TX 75013 | 2019-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537857 | Julius Abam | Nurse Practitioner | 634 Rustic Trl, Midlothian, TX 76065-2267 | 2020-10-30 |
| 1750981619 | Suvekchya Subedi | Nurse Practitioner | 4032 Vista Mar Drive, Euless, TX 76040 | 2020-10-29 |
| 1821698754 | Christienne Felice Solis Callasan | Nurse Practitioner | 1010 Palos Verdes Blvd, Arlington, TX 76017-1780 | 2020-10-29 |
| 1932709201 | Aftercare, Pllc | Nurse Practitioner | 2000 Crawford St Ste 1221, Houston, TX 77002-9000 | 2020-10-27 |
| 1497355929 | Hector Medellin IIi | Nurse Practitioner | 6014 County Road 4068, Kemp, TX 75143-2600 | 2020-10-26 |
| 1639778947 | Aj Psychiatry Pllc | Nurse Practitioner | 1920 N Coit Rd Ste 219, Richardson, TX 75080-2832 | 2020-10-19 |
| 1154929735 | Valerie Michelle Vaughn-smith | Nurse Practitioner | 3105 Rockbrook Dr, Kilgore, TX 75662-2251 | 2020-10-15 |
| 1700483468 | Knd Behavioural Health Clinic | Nurse Practitioner | 103 Herrington Dr, Mansfield, TX 76063-7615 | 2020-10-06 |
| 1184231805 | Tihana Sladic | Nurse Practitioner | 1515 S Capital of Texas Hwy Ste 300&301, Austin, TX 78746-6579 | 2020-09-27 |
| 1679189369 | Charity Chioma Durant | Nurse Practitioner | 2310 Echo Ct, Rowlett, TX 75088-1534 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.