Individual
MICHAEL C IBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310B PALUXY ROAD, SUITE 1400, GRANBURY, TX 76048-5655
(817) 579-3970
(817) 579-3969
Mailing address
1310B PALUXY ROAD, SUITE 1400, GRANBURY, TX 76048-5655
(817) 579-3970
(817) 579-3969
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
U3414
TX
207RI0011X
Interventional Cardiology Physician
Primary
U3414
TX
Other
Enumeration date
06/26/2012
Last updated
08/23/2024
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