Active NPI
Deanah a Jibril, DO, PA
- Obstetrics & Gynecology Physician
- Plano, TX
National Provider Identifier
1063881076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- J9718
- Legal business name
- DEANAH A JIBRIL, DO, PA
- Practice address
- 4001 W 15TH St
Suite 375
Plano, TX 75093-5841 - Phone
- (972) 867-4880
- Fax
- (972) 867-4881
- NPI assigned
- Sep 21, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deanah A Jibril, DO
- Title
- Physician/Owner
- Phone
- (817) 832-0761
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | J9718 | TX | Primary |
Addresses
Primary practice location
4001 W 15TH St
Suite 375
Plano, TX 75093-5841
Mailing address
3212 Saint Georges Dr
Plano, TX 75093-4719
Phone (817) 832-0761
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443139200000",
"number": "1063881076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3212 SAINT GEORGES DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750934719",
"telephone_number": "817-832-0761",
"fax_number": "972-608-4693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 W 15TH ST",
"address_2": "SUITE 375",
"city": "PLANO",
"state": "TX",
"postal_code": "750935841",
"telephone_number": "972-867-4880",
"fax_number": "972-867-4881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEANAH A JIBRIL, DO, PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-21",
"last_updated": "2015-09-25",
"status": "A",
"authorized_official_last_name": "JIBRIL",
"authorized_official_first_name": "DEANAH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "817-832-0761",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "J9718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.