Individual
ALEXANDRA GUADALUPE IBANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 E SOUTHEAST LOOP 323 # 382, TYLER, TX 75701-8337
(903) 305-2999
Mailing address
388 COUNTY ROAD 1475, MOUNT PLEASANT, TX 75455-7305
(903) 305-2299
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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