IRINE BENGZEN FOMBO
NPI 1598320640
Nurse Practitioner - Family in Bulverde, TX

Active since May 03, 2019
805 KELLY CREEK RD, BULVERDE, TX 78163(830) 438-5662 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Irine Bengzen Fombo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IRINE BENGZEN FOMBO (NPI 1598320640) is an individual family provider in Bulverde, Texas, licensed in Texas (AP141107) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1598320640
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameIRINE BENGZEN FOMBO
Location Address805 KELLY CREEK RDBulverde, TX 78163-3035
Mailing Address805 Kelly Creek RdBulverde, TX 78163-3035 · (830) 438-5662
Sole ProprietorNo
Enumeration DateMay 3, 2019
NPI 1598320640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP141107
805 KELLY CREEK RD, Bulverde, TX 78163

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
805 KELLY CREEK RD
BULVERDE, TX 78163
Hospitalist
805 KELLY CREEK RD
BULVERDE, TX 78163
Nurse Practitioner (Acute Care)
805 KELLY CREEK RD
BULVERDE, TX 78163

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irine Fombo's NPI number?

The NPI number for Irine Fombo is 1598320640. It was assigned to this individual provider in the NPPES registry on May 3, 2019.

Where is Irine Fombo located?

Irine Fombo practices at 805 Kelly Creek Rd, Bulverde, TX 78163. The listed phone number is (830) 438-5662.

What is Irine Fombo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Irine Fombo was last updated on May 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.