Provider Demographics
NPI:1982669883
Name:TRIBBLE, MARC A (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:A
Last Name:TRIBBLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3500 OAK LAWN AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-6719
Mailing Address - Country:US
Mailing Address - Phone:214-521-0100
Mailing Address - Fax:214-521-0104
Practice Address - Street 1:3500 OAK LAWN AVE STE 700
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-6719
Practice Address - Country:US
Practice Address - Phone:214-521-0100
Practice Address - Fax:214-521-0104
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2020-08-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK5723174400000X, 207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No174400000XOther Service ProvidersSpecialist
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXMDK5723OtherWORKERS COMP
TXP00100743OtherRAIL ROAD MEDICARE
TXK5723OtherSTATE LICENSE
TX170846301Medicaid
TX0081085OtherBLUE LINK
TX7926532OtherAETNA
TX8J3800OtherBLUE CROSS BLUE SHIELD
TXMDK5723OtherWORKERS COMP
TX0081085OtherBLUE LINK
TXK5723OtherSTATE LICENSE