Individual
BIBIN SANJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2800 E TEXAS HIGHWAY 114, STE 350, TROPHY CLUB, TX 76262-5033
(855) 204-2502
Mailing address
2800 E TEXAS HIGHWAY 114, STE 350, TROPHY CLUB, TX 76262-5033
(855) 204-2502
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1228590
TX
Other
Enumeration date
03/09/2026
Last updated
04/09/2026
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