Individual
JOEL ICOY LIBARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
3500 W WHEATLAND RD, DALLAS, TX 75237-3460
(214) 947-0600
Mailing address
2720 HYACINTH DR, MESQUITE, TX 75181-1894
(972) 222-7786
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
625441
TX
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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