MERCIFUL EKONGMADEM EYONGEGBE

FORT WORTH, TX
NPI1629756986
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA16986)
Enumeration Date2023-07-07
Last Update Date2023-07-15
Business Address
MERCIFUL EKONGMADEM EYONGEGBE PA-C
851 W TERRELL AVE
FORT WORTH, TX 76104-3161
Phone number: 817-756-7385
Mailing Address
MERCIFUL EKONGMADEM EYONGEGBE PA-C
PO BOX 33434
FORT WORTH, TX 76162-3434
Phone number: 817-332-8346