Search › Texas › 183500000X
Valere Mfoghom
NPI 1902516990 · on the registry since 2022 · sole proprietor
Practice
- Address
- 5976 Old Jacksonville Hwy
Tyler, TX 75703 - Phone
- (903) 405-6213
- Organisation at this address
- Wal-Mart Stores Texas Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-30
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