Provider Demographics
NPI:1932169208
Name:CRIBBINS, ALLAN JOSEPH III (MD)
Entity type:Individual
Prefix:
First Name:ALLAN
Middle Name:JOSEPH
Last Name:CRIBBINS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6020 W PARKER RD STE 400
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8175
Mailing Address - Country:US
Mailing Address - Phone:972-981-8440
Mailing Address - Fax:972-981-8268
Practice Address - Street 1:6020 W PARKER RD STE 400
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8175
Practice Address - Country:US
Practice Address - Phone:214-501-1333
Practice Address - Fax:214-501-1334
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0109208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX029956201Medicaid
TX00276MMedicare ID - Type Unspecified