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Search › Texas › 164W00000X

Thomas Fomukong

NPI 1588078703 · on the registry since 2014 · sole proprietor

Practice

Address
2433 Goldfinch Ln
Garland, TX 75042
Phone
(972) 272-5820
Organisation at this address
Bah Career Training Inc
Texas Medical Supplies And Rehabilitation Network
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-06-16

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