Individual
DR. LIBARDO JOSE TABOADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6130 PARKWAY DR, CORPUS CHRISTI, TX 78414-2455
(361) 853-2200
Mailing address
4455 S PADRE ISLAND DR, STE 11, CORPUS CHRISTI, TX 78411-5163
(361) 883-6211
(361) 882-4891
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E6644
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130603703
—
TX
05
—
130603706
—
TX
01
—
81T601
BCBS
TX
01
—
89J441
BLUE CROSS BLUE SHIELD
—
Enumeration date
05/11/2006
Last updated
06/02/2022
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