| Victorine Tebong, FNP-C | |
|
8840 Benbrook Blvd Ste 101, Benbrook, TX 76126-2173 | |
| (817) 813-7101 | |
| (817) 382-5458 |
| Full Name | Victorine Tebong |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 8840 Benbrook Blvd Ste 101, Benbrook, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093344400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP144678 (Texas) | Primary |
| Entity Name | At Home Primary Care Doctor |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053194936 PECOS PAC ID: 0143674507 Enrollment ID: O20231004000580 |
| Mailing Address | Practice Location Address |
|---|---|
| Victorine Tebong, FNP-C Po Box 746079, Atlanta, GA 30374-6079 Ph: (312) 733-9730 | Victorine Tebong, FNP-C 8840 Benbrook Blvd Ste 101, Benbrook, TX 76126-2173 Ph: (817) 813-7101 |
Carol M Shelley, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1004 Winscott Rd, Benbrook, TX 76126 Phone: 817-249-0111 Fax: 817-249-0110 | |
Brenda Nyambweke, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8840 Benbrook Blvd, Benbrook, TX 76126 Phone: 682-233-6832 Fax: 817-249-7375 | |
Renee Aviles, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6320 Southwest Blvd Ste 200, Benbrook, TX 76109 Phone: 817-766-5500 | |
Dawn Ann Duvall, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8735 Benbrook Blvd Ste A, Benbrook, TX 76126 Phone: 682-301-3400 Fax: 682-701-5999 | |
Patricia Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Sproles Dr Ste 101, Benbrook, TX 76126 Phone: 817-249-4100 Fax: 817-249-4185 | |
Ms. Diana L. Jones, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6407 Southwest Blvd, Benbrook, TX 76132 Phone: 817-731-9198 Fax: 817-731-9199 |