| Michael Keith Dibble Jr., Pllc | |
|
4601 Matthew Rd Grand Prairie TX 75052-1750 | |
| (469) 278-5901 | |
| Not Available |
| Full Name | Michael Keith Dibble Jr., Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4601 Matthew Rd, Grand Prairie, Texas |
| Authorized Official Name and Position | Michael Keith Dibble (PRESIDENT) |
| Authorized Official Contact | 2146329242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Keith Dibble Jr., Pllc 4322 Matthew Rd Grand Prairie TX 75052-1501 Ph: (214) 632-9242 | Michael Keith Dibble Jr., Pllc 4601 Matthew Rd Grand Prairie TX 75052-1750 Ph: (469) 278-5901 |
| NPI Number | 1427460864 |
|---|---|
| Provider Enumeration Date | 05/20/2014 |
| Last Update Date | 05/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427460864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 62572 (Texas) | Primary |
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