FOMUNDAM NEWNTON MBUH NP NPI 1003464496

NPI Information

  • NPI: 1003464496
  • Provider Name: FOMUNDAM NEWNTON MBUH, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4759 SOUTH FWY STE 101
    FORT WORTH, TX
    ZIP 76115
  • Phone: (817) 382-0005

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NPI Details

Fomundam Newnton Mbuh, NP is a family nurse practitioner in Fort Worth, TX. Fomundam Newnton Mbuh, NP NPI is 1003464496. 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:

4759 SOUTH FWY STE 101
FORT WORTH, TX
ZIP 76115-655
Phone: (817) 382-0005

The NPI 1003464496 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 8/28/2019 and was last updated on 8/28/2019.

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
1207Q00000XFamily MedicineAP142762TEXASNo
2363LF0000XNurse PractitionerFamilyAP142762TEXASYes

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: 11/21/2025

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