Individual
DR. CHRISTOPHER ODELL BIBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 FRANCISCAN DR, ST. JOSEPH REGIONAL MEDICAL CENTER, PATHOLOGY DEPT., BRYAN, TX 77802-2544
(979) 776-5982
(979) 776-2469
Mailing address
PO BOX 2386, ROUND ROCK, TX 78680-2386
(317) 507-7379
(512) 597-2713
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01060395A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
M5635
TX
207ZP0104X
Chemical Pathology Physician
M5635
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1927220
—
TX
01
—
8K4032
MEDICARE
TX
Enumeration date
05/07/2007
Last updated
10/28/2014
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