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JULIE TOMBERLIN MD PA NPI 1386943231


NPI Information

NPI: 1386943231
Provider Name: JULIE TOMBERLIN MD PA
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 45D1007886

Address:
706 HUNTERS ROW CT
MANSFIELD, TX
ZIP 76063
Phone: (682) 518-8111
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JULIE TOMBERLIN MD PA is an adolescent medicine pediatrics in Mansfield, TX. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. JULIE TOMBERLIN MD PA NPI is 1386943231. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

706 HUNTERS ROW CT
MANSFIELD, TX
ZIP 76063-001
Phone: (682) 518-8111
Fax: (682) 518-8112

The provider's authorized official is Julie Ann Tomberlin .
The authorized official title is Owner and has the following contact phone number (682) 518-8111.

The CLIA number assigned to this NPI record is 45D1007886 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2011 and was last updated on 3/17/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent MedicineL3703TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11396715215OTHERTYPE 1 NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.