Provider Demographics
NPI:1245797224
Name:NDEBELE, THEMBEKILE (RN)
Entity Type:Individual
Prefix:MRS
First Name:THEMBEKILE
Middle Name:
Last Name:NDEBELE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:THEMBEKILE
Other - Middle Name:
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:4909 HAVERWOOD LN APT 305
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-4410
Mailing Address - Country:US
Mailing Address - Phone:214-435-6222
Mailing Address - Fax:
Practice Address - Street 1:4909 HAVERWOOD LN APT 305
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-4410
Practice Address - Country:US
Practice Address - Phone:214-435-6222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-26
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX954959163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse