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NPI Code Detail

MEDICARE: BIBIN SANJU PMHNP

MEDICARE: BIBIN SANJU PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1228590TX

General Provider Information

NPI Number : 1538015748
Entity Type Code : Individual
Provider Name (Legal Business Name) : BIBIN SANJU PMHNP
Provider Business Mailing Address
First Line : 6200 W PARKER RD
Second Line :
City : PLANO
State : TX
Zip : 75093-8185
Country : US
Telephone Number : 972-981-8000
Fax Number :
Provider Business Practice Location Address
First Line : 6200 W PARKER RD
Second Line :
City : PLANO
State : TX
Zip : 75093-8185
Country : US
Telephone Number : 972-981-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ BIBIN SANJU PMHNP” Practice Location

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