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NPI Code Detail

MEDICARE: JOAN BEMPONG MS

MEDICARE: JOAN BEMPONG MS
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1164235735
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAN BEMPONG MS
Provider Business Mailing Address
First Line : 617 E 16TH ST
Second Line :
City : PLANO
State : TX
Zip : 75074-5726
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 617 E 16TH ST
Second Line :
City : PLANO
State : TX
Zip : 75074-5726
Country : US
Telephone Number : 469-305-2877
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2025
Last Update Date : 08/26/2025

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Directions to “ JOAN BEMPONG MS” Practice Location

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