Provider Demographics
NPI:1285696336
Name:FRIBLEY, CORINNE ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:CORINNE
Middle Name:ELIZABETH
Last Name:FRIBLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7557 RAMBLER ROAD #812
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231
Mailing Address - Country:US
Mailing Address - Phone:469-364-3134
Mailing Address - Fax:469-680-1599
Practice Address - Street 1:7557 RAMBLER RD STE 812
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-2366
Practice Address - Country:US
Practice Address - Phone:469-364-3134
Practice Address - Fax:469-680-1599
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL10472084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX168395501Medicaid
I02153Medicare UPIN
TX168395501Medicaid