Individual
MARTIN IBARRA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1914 SUMMER BREEZE RD APT A, MISSION, TX 78572-3191
(956) 451-2114
Mailing address
2609 NESSUH AVE, EDINBURG, TX 78541-4814
(956) 630-1116
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
853382
TX
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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