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Jerry Fombad

NPI 1477433811 · on the registry since 2025 · sole proprietor

Practice

Address
7803 Barn Swallow Dr
Frisco, TX 75036
Phone
(678) 464-5790

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas