Individual
MR. JOSEPH JAMIE IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MCN, RDN, LD
Contact information
Practice address
2800 SHORELINE DR STE 120, DENTON, TX 76210-0130
(909) 636-1340
Mailing address
2528 MARINA DR, GRAND PRAIRIE, TX 75054-6851
(909) 636-1340
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86146437
TX
Other
Enumeration date
10/03/2018
Last updated
02/06/2026
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