Individual
JORGE IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10711 BEXLEY DR, HOUSTON, TX 77099-1803
(281) 857-3781
(281) 564-5694
Mailing address
10711 BEXLEY DR, HOUSTON, TX 77099-1803
(281) 857-3781
(281) 564-5694
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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