Organization
FRANCIS ROBERTO IBARRA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS ROBERTO IBARRA M.D. (PRESIDENT)
(281) 348-0426
Entity
Organization
Contact information
Practice address
15101 EAST FWY, CHANNELVIEW, TX 77530-4104
(713) 626-3379
(713) 626-3351
Mailing address
PO BOX 203616, HOUSTON, TX 77216-3636
(281) 358-8114
(281) 358-0609
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H3896
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
H3896
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038BR
BLUE CROSS/BLUE SHIELD
TX
01
—
00903R
BLUE CROSS/BLUE SHIELD
TX
05
—
148158201
—
TX
05
—
149576401
—
TX
Enumeration date
07/21/2006
Last updated
11/16/2009
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