Organization
IWONA CIBA DPM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IWONA L CIBA D.P.M. (PRESIDENT)
(281) 395-9966
Entity
Organization
Contact information
Practice address
707 S FRY RD, SUITE 285, KATY, TX 77450-2256
(281) 395-9966
(281) 599-8596
Mailing address
9211 WEST RD, SUITE 143-105, HOUSTON, TX 77064-8633
(281) 395-9966
(281) 599-8596
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1427
TX
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
1427
TX
213ES0000X
Sports Medicine Podiatrist
1427
TX
213ES0131X
Foot Surgery Podiatrist
1427
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00445E
MEDICARE PROVIDER ID
TX
05
—
018589401
—
TX
Enumeration date
09/20/2007
Last updated
10/06/2010
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