Individual
DEBORAH MOBOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PA-C
Contact information
Practice address
1500 S MAIN ST FL 2, FORT WORTH, TX 76104-4917
(817) 702-3636
(817) 927-8769
Mailing address
200 W MAGNOLIA AVE STE 201, FORT WORTH, TX 76104-7657
(817) 702-2977
(817) 702-2140
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19125
TX
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/30/2025
Last updated
06/03/2025
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