P Praxis·MD
● Active Type 1 · Individual

Deidre Bibb

Preventive Medicine·Tyler, TX· NPI 1891269056 · Enumerated 2019 · 7 years on NPI
Bibb is 1 of 1 preventive medicine providers in Tyler and 1 of 14 in Texas.
NPI age
7 years
Enumerated 2019-01-21
Primary specialty
Preventive Medicine
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-01-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 14 active preventive medicine providers in Texas.

NPI age
7 years
≈ at median (6 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-01Enumerated in NPPES
2019 2026

Where they practice

Practice location
1814 Roseland Blvd Ste 100
Tyler, TX 757014262
📞 9035253300
Mailing address
102 S Stewart St
White Oak, TX 756931514
📞 9035700602

Specialties

  • Preventive Medicine Primary
    A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
    TX license #120402065-AT2240 taxonomy 2083S0010X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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