Byron Buzon Lebumfacil, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Kennedale, TX
NPI 1770427353 · NPPES record last updated Apr 15, 2026
Key facts
- NPI
- 1770427353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 1230978 (TX)
- Practice address
- 3100 Joplin Rd Apt 9107
Kennedale, TX 76060-6269 - Phone
- (580) 574-9047
- NPI assigned
- Apr 15, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2001 N Lamar St
Suite 300
Dallas, TX 75202-1743
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1230978 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1230978 | TX | Yes |
Addresses
Primary practice location
3100 Joplin Rd Apt 9107
Kennedale, TX 76060-6269
Mailing address
3100 Joplin Rd Apt 9107
Kennedale, TX 76060-6269
Phone (580) 574-9047
Other providers in Kennedale, TX
- Sahra Muse Ibrahim
- Kennedale Family Dentistry& Orthodontics,PLLC
- Kennedale Isd
- Tina Kennimer
- Joseph King III
- Deanna Dean Lowe
- Carol A Mapp
- Judy Pricer Mathea
- Linda Gayle McMahan
- Med-Link of North Texas Systems, Inc.
All providers in Kennedale, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.