# MRS. STEPHANIE M IBUS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831037399
- **Gender:** F
- **Credential:** CCP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | FPF02000007 | TX | Yes |
| 242T00000X | Perfusionist | FPF02000007 | TX | Yes |

## Other

- **Enumeration date:** 03/24/2026
- **Last updated:** 08/13/2026