Individual
MS. LOURDES M IBANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5921 BELLAIRE BLVD, STE B, HOUSTON, TX 77081-5524
(713) 432-7212
(713) 432-1503
Mailing address
5921 BELLAIRE BLVD, STE B, HOUSTON, TX 77081-5524
(713) 432-7212
(713) 432-1503
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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