Doctor Name: | MRS. TOBI POMEROY |
NPI Number: | 1710384508 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 750249 |
Business Practice Address: | 675 W Main St Ovilla, TX - 751541669 |
Business Phone Number: | 9726176376 |
Business Fax Number: | 9726176381 |
Mailing Address: | 675 W Main St, OVILLA |
State: | TX |
Postal Code: | 751541669 |
Phone Number: | 9726176376 |
Fax Number: | 9726176381 |
NPI Enumeration Date: | 11/23/2014 |
NPI Last Update Date: | 05/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 750249 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |