Organization
TEXAS MINIMALLY INVASIVE SURGERY CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIL KUMAR TIBREWAL MD (PRESIDENT)
(972) 298-4622
Entity
Organization
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
01
—
0080SM
BLUE CROSS & BLUE SHIELD
TX
05
—
203725101
—
TX
Enumeration date
06/30/2009
Last updated
09/22/2025
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