Individual
DR. FRED BIBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2203 W 35TH ST, AUSTIN, TX 78703-1203
(512) 374-6949
(512) 374-6080
Mailing address
2203 W 35TH ST, AUSTIN, TX 78703-1203
(512) 374-6949
(512) 374-6080
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
F9200
TX
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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