Individual
KASANDRA IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 PECOS ST., MESQUITE, TX 75150
(214) 259-5396
Mailing address
1425 PECOS ST., MESQUITE, TX 75150
(214) 259-5396
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
1006220
TX
176B00000X
Midwife
Primary
CNM10202
TX
367A00000X
Advanced Practice Midwife
Primary
1093508822
TX
Other
Enumeration date
05/24/2025
Last updated
02/05/2026
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