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Individual
SEGUNDO SERGIO ROBERT-IBARRA
Active
Individual
SEGUNDO SERGIO ROBERT-IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
319233
NY
2084P0800X
Psychiatry Physician
Primary
319233
NY
2084P0804X
Child & Adolescent Psychiatry Physician
K7031
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K7031
TEXAS MEDICAL BOARD
TX
Enumeration date
04/13/2007
Last updated
07/22/2023
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