Augustine Nubea Fombon
Augustine Nubea Fombon is a Physical Therapy Clinic/Center in Grand Prairie, Texas. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
601 S Great Southwest Pkwy Ste 106Grand Prairie, TX 75051-1057
Phone: (214) 718-9593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Clinic/Center (primary) | Taxonomy 261QP2000X |
|---|
Record details
| NPI number | 1033754890 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 14, 2019 |
| Last updated in NPPES | October 27, 2020 |
| Certification date | October 27, 2020 |
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