Organization
JULIE TOMBERLIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE ANN TOMBERLIN MD (OWNER)
(682) 518-8111
Entity
Organization
Contact information
Practice address
706 HUNTERS ROW CT, MANSFIELD, TX 76063-4001
(682) 518-8111
(682) 518-8112
Mailing address
706 HUNTERS ROW CT, MANSFIELD, TX 76063-4001
(682) 518-8111
(682) 518-8112
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
L3703
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396715215
TYPE 1 NPI
—
Enumeration date
03/17/2011
Last updated
03/17/2011
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