SearchTexas101YM0800X

Kibonge Baleke

NPI 1497636682 · on the registry since 2025 · sole proprietor

Practice

Address
8665 Las Vegas Ct Apt 3020
Fort Worth, TX 76116
Phone
(817) 450-0048
Organisation at this address
Onedayrider
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-12

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