Mr. Ephraim Tata Fombo is a San Antonio, Texas based nurse practitioner. Active license number of Mr. Ephraim Tata Fombo is RN796897 for Psych/Mental Health in Texas. His current practice location is 3031 W Ih 10, Attn: Credentialing Dept, San Antonio. Patients can reach him at 210-261-1000 or can fax him at 210-731-8678. Mr. Ephraim Tata Fombo is PMHNP-BC and his NPI number (Unique professional ID assigned by NPPES) is 1134368327. Mr. Ephraim Tata Fombo has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mr. Ephraim Tata Fombo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mr. Ephraim Tata Fombo
Specialization:
Nurse Practitioner (NP)
Gender:
Male
Credentials:
PMHNP-BC
Practice Address:
3031 W Ih 10, Attn: Credentialing Dept, San Antonio, Texas, 78201-5159
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1134368327
NPI Enumeration Date:
11 Feb, 2009
NPI Last Update On:
08 Nov, 2016
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Ephraim Tata Fombo are as mentioned below.
License Number
Specialization
State
Status
RN796897
Psych/Mental Health
Texas
Primary
RN 330129
Registered Nurse
Ohio
Secondary
796897
Registered Nurse
Texas
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Ephraim Tata Fombo 3031 W Ih 10, San Antonio, Texas
Zip:
78201-5159
Phone Number:
210-261-1000
Fax Number:
210-731-8678
Patients can reach Mr. Ephraim Tata Fombo at 3031 W Ih 10, Attn: Credentialing Dept, San Antonio, Texas or can call to book an appointment on 210-261-1000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.