Provider Demographics
NPI:1558865550
Name:TRIBIE, SOPHIA MARGARETH (MD)
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:MARGARETH
Last Name:TRIBIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17189 INTERSTATE 45 S STE 105
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77385-3320
Mailing Address - Country:US
Mailing Address - Phone:936-270-4971
Mailing Address - Fax:936-270-4972
Practice Address - Street 1:17189 INTERSTATE 45 S STE 105
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77385-3320
Practice Address - Country:US
Practice Address - Phone:936-270-4971
Practice Address - Fax:936-270-4972
Is Sole Proprietor?:No
Enumeration Date:2018-03-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU1149207Q00000X
MA287613207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine