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Mafon Fomujang is one of 6 nurse practitioners practicing in Brookshire, Texas .
Mafon Fomujang practices with Brave Health Medical Group, PA.
Registry record (NPPES)
NPI
1013442102
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Psychiatric/Mental Health · 363LP0808X
Address on file
2911 Medical Arts St Ste 10 Austin, TX 78705-3302 (866) 473-0663
Enumerated
Apr 26, 2017
Record last updated
Jul 3, 2023
License states listed
OH, TX
Medicare (CMS)
Enrollment
Medicare-enrolled in OH, TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
32638 Harvest Valley Dr
Brookshire , TX 77423
(469) 489-5277
More nurse practitioners in Brookshire
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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