Organization
IDEAL INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE IBANEZ MD (OWNER)
(361) 654-2064
Entity
Organization
Contact information
Practice address
5920 SARATOGA BLVD, SUITE 475, CORPUS CHRISTI, TX 78414-4103
(361) 654-2064
(361) 654-2068
Mailing address
5920 SARATOGA BLVD, SUITE 475, CORPUS CHRISTI, TX 78414-4103
(361) 654-2064
(361) 654-2068
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L0290
TX
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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