Individual
DR. BRENT TIBBET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
NMRTC CORPUS CHRISTI, 10651 E STREET, CORPUS CHRISTI, TX 78419-5130
(951) 285-3810
Mailing address
NAVAL MEDICAL READINESS TRAINING CENTER CORPUS CHRISTI, 10651 E. STREET, BLDG 100, CORPUS CHRISTI, TX 78419-5130
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11742021-9924
UT
Other
Enumeration date
08/03/2012
Last updated
08/04/2025
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