Individual
JAVIER YBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1904 E GRIFFIN PKWY, MISSION, TX 78572-3106
(956) 585-2439
Mailing address
1904 E GRIFFIN PKWY, MISSION, TX 78572-3106
(956) 585-2439
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
58665
TX
171M00000X
Case Manager/Care Coordinator
Primary
58665
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149229001
—
TX
05
—
172183901
—
TX
05
—
1739435
—
TX
Enumeration date
03/20/2014
Last updated
03/20/2014
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