Individual
ANNELISE NATASHA RIBEIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
675 TOWN SQUARE BLVD BLDG 1A, GARLAND, TX 75040-2992
(903) 474-1983
(903) 496-0534
Mailing address
625 COUNTY ROAD 1503, ALBA, TX 75410-2638
(214) 918-0037
(844) 357-1903
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P6255
TX
208D00000X
General Practice Physician
P6255
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325375903
—
TX
05
—
325375904
—
TX
01
—
P6255
TEXAS MEDICAL BOARD
TX
Enumeration date
11/01/2007
Last updated
11/17/2021
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