Provider Demographics
NPI:1730101965
Name:CHEBIB, PAUL FARID (MD)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:FARID
Last Name:CHEBIB
Suffix:
Gender:M
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:PO BOX 54136
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79453-4136
Mailing Address - Country:US
Mailing Address - Phone:806-771-1386
Mailing Address - Fax:806-771-1388
Practice Address - Street 1:703 E FELT ST
Practice Address - Street 2:
Practice Address - City:BROWNFIELD
Practice Address - State:TX
Practice Address - Zip Code:79316-3439
Practice Address - Country:US
Practice Address - Phone:806-627-1955
Practice Address - Fax:806-637-2169
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0674207R00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136446510Medicaid
TX136446503Medicaid
TXK0674OtherTEXAS LICENSE NUMBER
TX0091DBOtherB/C B/S
TX110206100OtherFIRSTCARE
TX136446512Medicaid
TXG35335OtherUPIN
TX8C2333Medicare PIN
TX136446512Medicaid