Mary Mbonu
NPI 1619103058 · Family Medicine Physician · Texarkana, TX
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Mbonu is a Family Medicine Physician provider in Texarkana, TX (NPI 1619103058).
Provider details
- NPI number
- 1619103058
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- P4784 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-05-29
- Last updated
- 2013-02-19
Frequently asked questions
- What is Mary Mbonu's NPI number?
- Mary Mbonu's National Provider Identifier (NPI) is 1619103058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Mbonu's specialty?
- Mary Mbonu is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mary Mbonu located?
- Mary Mbonu's practice location on file with NPPES is 1400 College Dr, Texarkana, TX 75503-3536.
- What is Mary Mbonu's phone number?
- The practice phone number listed in the NPPES registry for Mary Mbonu is (903) 614-5330.
- Does Mary Mbonu accept Medicare?
- Mary Mbonu is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Mbonu's NPI active?
- Yes — Mary Mbonu's NPI (1619103058) is active in the NPPES registry as of the last update on 2013-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.