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Search › Texas › 261QP2000X

Augustine Fombon

NPI 1033754890 · on the registry since 2019 · sole proprietor

Practice

Address
601 S Great Southwest Pkwy Ste 106
Grand Prairie, TX 75051
Phone
(214) 718-9593
Organisation at this address
Jap Clinic Inc
Jap Physical Therapy
Divine Grace Home Care Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
261QP2000X
261QP2000X
Sex
Male
Record last updated
2020-10-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas