Provider Demographics
NPI:1609752450
Name:TAMANG, SABINA (FNP)
Entity type:Individual
Prefix:
First Name:SABINA
Middle Name:
Last Name:TAMANG
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CORRAL ACRES WAY
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76120-4306
Mailing Address - Country:US
Mailing Address - Phone:617-899-2201
Mailing Address - Fax:
Practice Address - Street 1:4070 N BELT LINE RD # 99
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-5028
Practice Address - Country:US
Practice Address - Phone:972-600-8077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1157502363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily