Organization
DR. ERIC TIBLIER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC STUART TIBLIER M.D. (OWNER/PRESIDENT)
(512) 206-2988
Entity
Organization
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
207RC0000X
Cardiovascular Disease Physician
Primary
J6767
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007MQ
BCBS OF TEXAS GROUP #
TX
05
—
173181201
—
TX
Enumeration date
01/27/2006
Last updated
10/03/2011
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