NPI age
6 years
Enumerated 2019-11-14
● Active
Type 1 · Individual
Augustine Nubea Fombon
Fombon is 1 of 7 clinic/center providers in Grand Prairie and 1 of 1225 in Texas.
Primary specialty
Clinic/Center
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2020-10-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1225 active clinic/center providers in Texas.
NPI age
6 years
↓ 2 yr below median (8 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-11Enumerated in NPPES
2019
2026
Where they practice
Practice location
601 S Great Southwest Pkwy Ste 106
Grand Prairie, TX 750511057
Mailing address
601 S Great Southwest Pkwy Ste 106
Grand Prairie, TX 750511057
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.