Mr. Ephraim Tata Fombo
PMHNP-BC | Nurse Practitioner
3031 W Ih 10, Attn: Credentialing Dept, San Antonio
Texas, 78201-5159
210-261-1000
Mr. Ephraim Tata Fombo is a San Antonio, Texas based nurse practitioner who is specialized as Nurse Practitioner nurse. 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 with specialization in Nurse Practitioner 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 Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | PMHNP-BC |
| Practice Address: | 3031 W Ih 10, Attn: Credentialing Dept, San Antonio,
Texas, 78201-5159 |
| Phone: | 210-261-1000 |
| Fax: | 210-731-8678 |
Professional Identification Codes:
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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.