MIGUEL H. IBARRA, M.D.
Medical Practice at Mesa St, El Paso, TX

License number
Texas H3076
Category
Medical Practice
Type
Pediatrics
Owner
Name: DR. MIGUEL H IBARRA MD
Title: OWNER
Phone: (915) 532-8187
Address
Address
1900 N Mesa St, El Paso, TX 79902
National Provider ID: 1932391596
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Miguel H Ibarra MD PA

El Paso, TX

Status:
Inactive
Doing business as:
Miguel H. Ibarra, M.D., PA
Registration:
Dec 14, 1993
Addresses:
1900 N Mesa St, El Paso, TX 79902
777 Via Verde St, El Paso, TX 79912
State ID:
0081484903
Business type:
Professional Association
President , Secretary , Director , Members:
Elva Enriguez (Manager),Isela Ibarra (Medical Doctor),Wendy Diaz Receptionist Secretary, Secretary, inactive,...
Agent:
Miguel H Ibarra,1900 N Mesa, El Paso, TX 79902 (Physical)
TIN:
32036022385

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