Individual
DERRICK F NIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2231 W LEDBETTER DR, DALLAS, TX 75224-4740
(972) 680-0096
(972) 680-8318
Mailing address
2231 W LEDBETTER DR, DALLAS, TX 75224-4740
(972) 680-0096
(972) 680-8318
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
1062450
TX
Other
Enumeration date
07/19/2018
Last updated
01/14/2025
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