Organization
MARC IBANEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC A IBANEZ MD (CEO)
(361) 500-1431
Entity
Organization
Contact information
Practice address
5424 HOLLY RD, CORPUS CHRISTI, TX 78411-4635
(361) 334-0937
(361) 271-1423
Mailing address
5424 HOLLY RD, CORPUS CHRISTI, TX 78411-4635
(361) 334-0937
(361) 271-1423
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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