Individual provider · Type 1 NPI
Deidre Bibb
Sports Medicine (Preventive Medicine) Physician · Tyler, TX
NPI number
1891269056
Active
Practice location
1814 Roseland Blvd Ste 100
Tyler, TX 75701-4262
Mailing address
102 S Stewart St
White Oak, TX 75693-1514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Preventive Medicine) Physician Primary | 2083S0010X | 120402065-AT2240 (TX) |
Sports Medicine (Preventive Medicine) Physician: A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
2 other providers at this address
About NPI 1891269056
Deidre Bibb's National Provider Identifier is 1891269056, issued on Jan 21, 2019. The primary taxonomy on file is Sports Medicine (Preventive Medicine) Physician (2083S0010X), and the practice location is in Tyler, TX. The record was last updated on Jan 21, 2019.