| Doctor Name: | MARIEZEN V BIBAL |
| NPI Number: | 1063667442 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 666009 |
| Business Practice Address: | 150 West El Dorado Blvd Friendswood, TX - 77546 |
| Business Phone Number: | 2812800986 |
| Business Fax Number: | 2814806134 |
| Mailing Address: | 1700 West Loop S, Suite 400b HOUSTON |
| State: | TX |
| Postal Code: | 770273005 |
| Phone Number: | 7132772222 |
| Fax Number: | |
| NPI Enumeration Date: | 11/26/2008 |
| NPI Last Update Date: | 04/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 666009 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |