Deidre Bibb

NPI #1891269056 in Tyler, Texas

Provider Information

NPI Number
1891269056
Entity Type
Individual
Name
Deidre Bibb
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Preventive Medicine - Sports Medicine
Enumeration Date
Jan 21, 2019
Last Updated
Jan 21, 2019

Practice Location

Address
1814 ROSELAND BLVD STE 100
City
Tyler
State
Texas
ZIP Code
75701-4262
Phone
(903) 525-3300

Specialties & Taxonomy Codes

Specialty
Preventive Medicine - Sports MedicineSports Medicine

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