Individual
MR. JESUS ROLANDO IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
911 W 38TH ST STE 200, AUSTIN, TX 78705-1107
(512) 451-7935
Mailing address
911 W 38TH ST STE 200, AUSTIN, TX 78705-1107
(512) 451-7935
(512) 451-7965
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14007
TX
Other
Enumeration date
10/28/2020
Last updated
05/05/2025
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