MEDICARE: VICTORINE TEBONG FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP144678	TX

General Provider Information

NPI Number	:	1093344400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORINE TEBONG FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 746079
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6079
Country	:	US
Telephone Number	:	312-733-9730
Fax Number	:	773-866-8014

Provider Business Practice Location Address
First Line	:	8840 BENBROOK BLVD STE 101
Second Line	:
City	:	BENBROOK
State	:	TX
Zip	:	76126-2173
Country	:	US
Telephone Number	:	817-813-7101
Fax Number	:	817-382-5458

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2020
Last Update Date	:	06/28/2022

Similar Medicare Providers

1871581082 — MRS. DONNA KAYE AUSTIN FNP
Practice Location Address:

8840 BENBROOK BLVD , STE 101
FORT WORTH, TX
76126-2173

Practice Phone: 817-813-7101
Practice Fax:

1891754784 — PAUL L GEIGER JR. DO
Practice Location Address:

8840 BENBROOK BLVD STE 101
BENBROOK, TX
76126-2173

Practice Phone: 817-813-7101
Practice Fax:

1174123772 — JULIE C RODDIE
Practice Location Address:

8840 BENBROOK BLVD
BENBROOK, TX
76126-2173

Practice Phone: 682-233-6827
Practice Fax:

1205436805 — DR. SANDRA GODSWILL PHARMD
Practice Location Address:

8840 BENBROOK BLVD
BENBROOK, TX
76126-2173

Practice Phone: 682-233-6827
Practice Fax:

1457952947 — PRIYANKA PATEL
Practice Location Address:

8840 BENBROOK BLVD
BENBROOK, TX
76126-2173

Practice Phone: 682-233-6827
Practice Fax:

1215930672 — CITY OF BENBROOK
Practice Location Address:

528 MERCEDES ST
BENBROOK, TX
76126-2521

Practice Phone: 817-249-1727
Practice Fax: 817-249-0884

Directions to “ VICTORINE TEBONG FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.