Paul Mayombola, AGACNP is an acute care nurse practitioner in Dallas, TX with 10 years of experience. Paul Mayombola, AGACNP NPI is 1902283534. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3500 GASTON AVE
DALLAS, TX
ZIP 75246-017
Phone: (214) 820-6856
The NPI 1902283534 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/4/2015 and was last updated on 5/4/2015.