Charles Kelley Tibbels in Decatur - Family Medicine

Charles Kelley Tibbels - NPI 1871569632

Charles Kelley Tibbels is a Family Medicine in Decatur, Texas. Charles Kelley Tibbels practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Charles Kelley Tibbels is 1871569632. The last update date is 2023-01-25.

Charles Kelley Tibbels's current location address is Po Box 2078, Decatur, Texas. You can contact this provider via phone number 9406268810 and fax number 9406268811. The mailing address for Charles Kelley Tibbels is Po Box 2078, Decatur, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Kelley Tibbels
Address Po Box 2078, Decatur, Texas
Phone Number 9406268810
Fax Number 9406268811
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1871569632
Provider Enumeration Date 2006-02-23
Last Updated Date 2023-01-25

Provider Mailing Address Detail

Address Po Box 2078
City Decatur
State Texas (TX)
Post Code 762346156
Phone Number 9406268810
Fax Number 9406268811

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No E6655
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
136230311 TX --
8EG149 TX BCBSTX
80094585 TX RAILROAD MEDICARE
136230301 TX --
P00362520 TX RAILROAD MEDICARE-AMC

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FAQs about Charles Kelley Tibbels

What is the unique 10-digit identifier code assigned to Charles Kelley Tibbels by the Centers for Medicare & Medicaid Services?

The Charles Kelley Tibbels has been issued the NPI (National Provider Identifier) 1871569632 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Charles Kelley Tibbels's facilities are geographically located?

The facilities of Charles Kelley Tibbels are physically situated at the following location: Po Box 2078, Decatur, TX, 762346156.

What is the area of specialization for Charles Kelley Tibbels, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Charles Kelley Tibbels is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.

When did Charles Kelley Tibbels receive its 1871569632 assignment?

The Charles Kelley Tibbels was assigned its 1871569632 on 2006-02-23, which is the date when this unique identifier was issued to the organization.

When was the information regarding Charles Kelley Tibbels, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Charles Kelley Tibbels, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-01-25.

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