Organization
FARAJA HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL MAYOMBOLA DNP, AGACNP-BC (NURSE PRACTITIONER)
(214) 554-1945
Entity
Organization
Contact information
Practice address
5000 RIVERSIDE DR BLDG 6, IRVING, TX 75039-4316
(214) 554-1945
Mailing address
5923 SILVER SAGE LN, GRAND PRAIRIE, TX 75052-8748
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
10/16/2024
Last updated
10/09/2025
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