Individual
MS. CLAIRE TIBILETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3414 GOLDEN RD, TYLER, TX 75701-8336
(903) 939-7500
(800) 248-0426
Mailing address
3414 GOLDEN RD, TYLER, TX 75701-8336
(903) 939-7500
(800) 248-0426
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
G3856
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037KV
BLUE CROSS GROUP #
TX
05
—
162224301
—
TX
01
—
DA5545
RAILROAD MEDICARE GROUP
TX
01
—
P00063083
RAILROAD MEDICARE INDIVIDUAL
TX
01
—
Y0051795
DPS #
TX
Enumeration date
07/20/2006
Last updated
10/18/2022
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