Provider Demographics
NPI:1720365406
Name:THOMAS, SIBI PHILIPOSE (DO)
Entity Type:Individual
Prefix:DR
First Name:SIBI
Middle Name:PHILIPOSE
Last Name:THOMAS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:594 SPURLOCK ST
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75036-9258
Mailing Address - Country:US
Mailing Address - Phone:214-232-5292
Mailing Address - Fax:
Practice Address - Street 1:9990 DALLAS PKWY STE 100
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4135
Practice Address - Country:US
Practice Address - Phone:469-800-6300
Practice Address - Fax:469-800-6351
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-09
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3259207R00000X, 207RI0011X
TXBP10036690207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine