Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Deborah Mobombo, PA-C

Individual provider Physician Assistant · NPI 1649163494

Deborah Mobombo, PA-C is a Physician Assistant in Fort Worth, Texas. Graduated from Drexel University College of Medicine in 2024, 2 years ago. Practices with Acclaim Physician Group Inc, a 523-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Trained at
Drexel University College of Medicine
Licensed in
TX
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1500 S Main St Fl 2
Fort Worth, TX 76104-4917
Phone: (817) 702-3636
Fax: (817) 927-8769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 60 N 36th St, Philadelphia, PA 19104-5639 — (215) 895-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA19125 (TX)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1649163494
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 30, 2025
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025
Mailing address200 W Magnolia Ave Ste 201, Fort Worth, TX 76104-7657

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Acclaim Physician Group Inc — 523 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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