Individual
BIBIN JOSEPH MYALIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 271-4700
Mailing address
3201 BANS CROWN BLVD, LEWISVILLE, TX 75056-5845
(469) 534-8710
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
960503
TX
367500000X
Certified Registered Nurse Anesthetist
1188825
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
221872
OK
Other
Enumeration date
12/12/2024
Last updated
06/10/2025
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