Bibb, Deidre
Bibb, Deidre is an individual health care provider with primary practice located at 1814 Roseland Blvd Ste 100 , Tyler TX 75701-4262. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Bibb, Deidre can be contacted via phone (903) 525-3300.Contact Information
Primary practice address
1814 Roseland Blvd Ste 100
Tyler TX 75701-4262
Phone: (903) 525-3300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2083S0010X | 120402065-AT2240 | Texas |
Profile Details
| NPI number | 1891269056 |
|---|---|
| LBN Legal business name | Bibb, Deidre |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 21st, 2019 |
| Last updated | Jan 21st, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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