Most Relevant Information
Provider Data
| NPI Number: | 1003261736 |
| Provider Name: | DEEBORR MBISSINE GIBUNE D.C |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 12395 |
Most Important Dates
| Enumeration Date: | 05/02/2016 |
| Last Updated: | 05/02/2016 |
Provider Practice Location
255 S DENTON TAP RD
SUITE 200
COPPELL
TX
750195050
Practice Location Phone/Fax
| Phone: | 9725569595 |
| Fax: |
Provider Mailing Location
255 S DENTON TAP RD
SUITE 200
COPPELL
TX
750195050
Provider Mailing Phone/Fax
| Phone: | 9725569595 |
| Fax: |