Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tibin Prince

Individual provider Physical Therapist · NPI 1548738099

Tibin Prince is a Physical Therapist in Private Practice in Richardson, Texas. Qualified in 2018, 8 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2018
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Practice location Address checks out

3030 Waterview Pkwy
Richardson, TX 75080-1400
Phone: (972) 332-4682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1312735 (TX)

Record details

NPI number1548738099
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 2, 2018
Last updated in NPPESJuly 16, 2021
Certification dateJuly 16, 2021
Mailing address12508 Jones Maltsberger Rd Ste 110, San Antonio, TX 78247-4215

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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