Individual
SHIBI PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 ASH CRK, MESQUITE, TX 75181-4210
(469) 305-9922
Mailing address
2625 ASH CRK, MESQUITE, TX 75181-4210
(469) 305-9922
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
40196
TX
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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