DEIDRE BIBB

TYLER, TX
NPI1891269056
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2083S0010X Preventive Medicine, Sports Medicine
(Licence: TX  120402065-AT2240)
Enumeration Date2019-01-21
Last Update Date2019-01-21
Business Address
DEIDRE BIBB
1814 ROSELAND BLVD STE 100
TYLER, TX 75701-4262
Phone number: 903-525-3300
Mailing Address
DEIDRE BIBB
102 S STEWART ST
WHITE OAK, TX 75693-1514
Phone number: 903-570-0602
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