Individual
DR. DOUGLAS B HIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9221 LBJ FWY, SUITE 208, DALLAS, TX 75243-3455
(972) 644-8577
(972) 644-8056
Mailing address
1400 BOWIE CIR, CORSICANA, TX 75110-1005
(903) 654-2781
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H9991
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102139603
—
TX
05
—
102139605
—
TX
01
—
8W9562
BCBS
TX
Enumeration date
02/13/2006
Last updated
09/17/2008
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