Svatek, Mandie Alice Tibball

Svatek, Mandie Alice Tibball is an individual health care provider with primary practice located at 4502 Medical Dr , San Antonio TX 78229-4402. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Svatek, Mandie Alice Tibball can be contacted via phone (210) 450-9000.

Contact Information

Primary practice address
4502 Medical Dr San Antonio TX 78229-4402
Phone: (210) 450-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X M0585 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M0585 Texas

Profile Details

NPI number 1255393302
LBN Legal business name Svatek, Mandie Alice Tibball
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Oct 11th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255393302 NPPES
Texas MEDICAID 175438405
Texas Other 175438406
Texas MEDICAID 175438401
Texas Other 8W7649

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