Individual
ERNESTO IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
15385 KATY FWY # 305, HOUSTON, TX 77094-1801
(210) 730-1300
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
009363
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03110331
—
TN
05
—
03330331
—
TN
Enumeration date
01/31/2022
Last updated
01/31/2022
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