# DEANAH A JIBRIL, DO, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063881076
- **Authorized official:** DEANAH A JIBRIL DO (PHYSICIAN/OWNER)
- **Authorized official phone:** (817) 832-0761

## Contact information

- **Practice address:** 4001 W 15TH ST, SUITE 375, PLANO, TX 75093-5841
- **Practice address phone:** (972) 867-4880
- **Practice address fax:** (972) 867-4881
- **Mailing address:** 3212 SAINT GEORGES DR, PLANO, TX 75093-4719
- **Mailing address phone:** (817) 832-0761
- **Mailing address fax:** (972) 608-4693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | J9718 | TX | Yes |

## Other

- **Enumeration date:** 09/21/2015
- **Last updated:** 09/25/2015