Individual
JEAN R BYBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
210 W PARK STE 104, LIVINGSTON, TX 77351-8337
(936) 328-5820
(936) 328-5824
Mailing address
210 W PARK STE 104, LIVINGSTON, TX 77351-8337
(936) 328-5820
(936) 328-5824
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01982
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y2311
BCBS INDIVIDUAL
TX
01
—
PA01982
TEXAS MEDICAL BOARD PHYSI
TX
Enumeration date
07/12/2007
Last updated
08/24/2010
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