Tibbs, Brian Matthew

Tibbs, Brian Matthew is an individual health care provider with primary practice located at 8230 Walnut Hill Ln Ste 320 , Dallas TX 75231-4481. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Tibbs, Brian Matthew can be contacted via phone (214) 369-5432.

Contact Information

Primary practice address
8230 Walnut Hill Ln Ste 320 Dallas TX 75231-4481
Fax: (214) 369-5591
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2002005863 Missouri
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X P9474 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X P9474 Texas

Profile Details

NPI number 1235332198
LBN Legal business name Tibbs, Brian Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Sep 30th, 2021 - about 4 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 1235332198 NPPES
Arkansas MEDICAID 175956001
Arkansas Other 431560263
Arkansas MEDICAID 20744506

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