Tibrewal, Anil Kumar
Tibrewal, Anil Kumar is an individual health care provider with primary practice located at 2727 Bolton Boone Dr Ste 108, Desoto TX 75115-2019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tibrewal, Anil Kumar can be contacted via phone (972) 298-4622.Contact Information
Primary practice address
2727 Bolton Boone Dr Ste 108
Desoto TX 75115-2019
Phone: (972) 298-4622
Fax: (972) 298-4633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | N2844 | Texas |
Profile Details
| NPI number | 1043259765 |
|---|---|
| LBN Legal business name | Tibrewal, Anil Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Feb 7th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043259765 | NPPES |
| Texas | Other | 8CB606 | BLUE CROSS |
| Texas | MEDICAID | 203726901 | BLUE CROSS |
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