Individual
ANIL KUMAR TIBREWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 E WHEATLAND RD, DUNCANVILLE, TX 75116-4905
(972) 298-4622
(972) 298-4633
Mailing address
1010 E WHEATLAND RD, DUNCANVILLE, TX 75116-4905
(972) 298-4622
(972) 298-4633
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
N2844
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203726901
—
TX
01
—
8CB606
BLUE CROSS
TX
Enumeration date
06/06/2006
Last updated
09/22/2025
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