Provider Demographics
NPI:1548688039
Name:GOVINA, TOMBRA (MD)
Entity type:Individual
Prefix:DR
First Name:TOMBRA
Middle Name:
Last Name:GOVINA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:823 JUNCTION HWY
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-5056
Mailing Address - Country:US
Mailing Address - Phone:830-258-6251
Mailing Address - Fax:830-515-5695
Practice Address - Street 1:823 JUNCTION HWY
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5056
Practice Address - Country:US
Practice Address - Phone:830-258-6251
Practice Address - Fax:830-515-5695
Is Sole Proprietor?:No
Enumeration Date:2014-04-01
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT4754207RE0101X, 207RE0101X
390200000X
CAA168653207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty