Organization
BENJAMIN YBARRA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN YBARRA DO (PRESIDENT)
(817) 453-5001
Entity
Organization
Contact information
Practice address
1600 N HIGHWAY 287, SUITE 102, MANSFIELD, TX 76063-8853
(817) 453-5001
(817) 453-2521
Mailing address
1810 SHILOH RD, SUITE 701, TYLER, TX 75703-2419
(903) 581-9629
(903) 581-7597
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/30/2006
Last updated
10/16/2008
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