Organization
DEANAH A JIBRIL, DO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANAH A JIBRIL DO (PHYSICIAN/OWNER)
(817) 832-0761
Entity
Organization
Contact information
Practice address
4001 W 15TH ST, SUITE 375, PLANO, TX 75093-5841
(972) 867-4880
(972) 867-4881
Mailing address
3212 SAINT GEORGES DR, PLANO, TX 75093-4719
(817) 832-0761
(972) 608-4693
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J9718
TX
Other
Enumeration date
09/21/2015
Last updated
09/25/2015
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