Tibbetts, Todd Austin

Tibbetts, Todd Austin is an individual health care provider with primary practice located at 8401 Datapoint Dr Suite 600, San Antonio TX 78229-5900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Tibbetts, Todd Austin can be contacted via phone (210) 616-7700.

Contact Information

Primary practice address
8401 Datapoint Dr Suite 600 San Antonio TX 78229-5900
Phone: (210) 616-7700
Fax: (210) 616-7709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X L5925 Texas

Profile Details

NPI number 1891777371
LBN Legal business name Tibbetts, Todd Austin
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Apr 7th, 2016 - about 10 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 1891777371 NPPES
Texas MEDICAID 1562076-08
Texas Other P00449060
Texas Other P00433521
Texas MEDICAID 1562076-09
Texas MEDICAID 1562076-06
Texas Other L5925

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