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Contact Information

NORVELYN TUSIL T IMBONG
1201 S MAIN ST
FORT WORTH, TX76104-4804
 Phone: 817-702-6500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for NORVELYN TUSIL T IMBONG · (Female)

NPI Number 1225915267
Status Active
Credentials
Entity Individual
Enumeration date 08/20/2025
Last updated 08/20/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 321-00-046
  • TX License # 736359
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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