Individual
DR. ERIC STUART TIBLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 W 38TH ST, SUITE 400, AUSTIN, TX 78705-1163
(512) 206-2988
(512) 206-2983
Mailing address
901 W 38TH ST, SUITE 400, AUSTIN, TX 78705-1163
(512) 206-2988
(512) 206-2983
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
J6767
TX
207RC0000X
Cardiovascular Disease Physician
Primary
J6767
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103494404
—
TX
01
—
8S1650
BCBS OF TEXAS INDIVIDUAL #
TX
Enumeration date
01/27/2006
Last updated
10/03/2011
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