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Individual
DR. MARC A TRIBBLE
Active
Individual
DR. MARC A TRIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K5723
TX
207R00000X
Internal Medicine Physician
Primary
K5723
TX
207RI0200X
Infectious Disease Physician
K5723
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0081085
BLUE LINK
TX
05
—
170846301
—
TX
01
—
7926532
AETNA
TX
01
—
8J3800
BLUE CROSS BLUE SHIELD
TX
01
—
K5723
STATE LICENSE
TX
01
—
MDK5723
WORKERS COMP
TX
01
—
P00100743
RAIL ROAD MEDICARE
TX
Enumeration date
04/20/2006
Last updated
08/03/2020
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