Provider Demographics
NPI:1417277807
Name:TARBOX, MICHELLE BABB (MD)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:BABB
Last Name:TARBOX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 4TH ST
Mailing Address - Street 2:DEPARTMENT OF DERMATOLOGY
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79430-9400
Mailing Address - Country:US
Mailing Address - Phone:806-743-1842
Mailing Address - Fax:806-743-2933
Practice Address - Street 1:3601 4TH ST
Practice Address - Street 2:DEPARTMENT OF DERMATOLOGY
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430-9400
Practice Address - Country:US
Practice Address - Phone:806-743-1842
Practice Address - Fax:806-743-2933
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-08
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010016527207ND0900X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology