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Irine Bengzen Fombo
Family Nurse Practitioner in Bulverde, Texas
NPI 1598320640

Irine Bengzen Fombo is a Family Nurse Practitioner based in Bulverde, TX and is specialized in Family. Irine Bengzen Fombo practices in Bulverde, TX. The NPI Number for Irine Bengzen Fombo is 1598320640 and holds a License No. AP141107 (Texas).

The current practice location address for Irine Bengzen Fombo is 805 Kelly Creek Rd, Bulverde, TX and can be reached out via phone at 830-438-5662.

Location: 805 Kelly Creek Rd, Bulverde, TX, 78163-3035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598320640
Provider Name
Irine Bengzen Fombo
Credential
Provider Entity Type
Individual
Gender
Female
Address
805 Kelly Creek Rd, Bulverde, TX, 78163-3035
Phone Number
830-438-5662
Fax Number
Provider Enumeration Date
05/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
805 Kelly Creek Rd
City
Bulverde
State
Texas
Zip
78163-3035
Phone Number
830-438-5662
Fax Number
person
Provider Business Mailing Address Details
Address
805 Kelly Creek Rd
City
Bulverde
State
Texas
Zip
78163-3035
Phone Number
830-438-5662
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP141107 (Texas)
Definition
Definition to come...
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