Individual
DR. JUAN JOSE IBARRA-ROVIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
N8794
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281248909
—
TX
01
—
281248910
CSHCN
TX
01
—
8KI708
BCBS
TX
Enumeration date
02/21/2011
Last updated
02/06/2019
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