Organization
RIBEIRO ORTHOPEDIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RIBEIRO M.D. (CEO)
(940) 627-1770
Entity
Organization
Contact information
Practice address
1101 W EAGLE DR, SUITE B, DECATUR, TX 76234-3721
(940) 627-1770
(940) 627-2233
Mailing address
1101 W EAGLE DR, SUITE B, DECATUR, TX 76234-3721
(940) 627-1770
(940) 627-2233
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K7089
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072SP
BCBS
TX
05
—
203508101
—
TX
Enumeration date
03/02/2009
Last updated
04/29/2015
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