DEIDRE BIBB – NPI #1891269056
Preventive Medicine

A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

DEIDRE BIBB is a physician located in TYLER, TX. NPPES has assigned the NPI number 1891269056 to DEIDRE BIBB on January 21, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2083S0010X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Sports Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEIDRE BIBB below.

NPI Profile for
DEIDRE BIBB

NPI Number
1891269056
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
DEIDRE BIBB
Primary location
1814 ROSELAND BLVD STE 100
TYLER, TX 75701-4262
Phone: (903) 525-3300 Fax:
Mailing address
102 S STEWART ST
WHITE OAK, TX 75693-1514
Phone: (903) 570-0602 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083S0010X
- Preventive Medicine / Sports Medicine (Primary)
TX 120402065-AT2240

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.