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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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 1043259765 NPPES
Texas Other 8CB606 BLUE CROSS
Texas MEDICAID 203726901 BLUE CROSS

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