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
Phone: (214) 369-5432
Fax: (214) 369-5591
Website:
Health care specialties
| Specialty | Code | License # | 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 5 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 | 1235332198 | NPPES |
| Arkansas | MEDICAID | 175956001 | |
| Arkansas | Other | 431560263 | |
| Arkansas | MEDICAID | 20744506 |
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