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General NPI Number Information
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NPI Number | 1316967102
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Entity Type | Organization
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Legal Business Name | FRANCIS ROBERTO IBARRA MD PA
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 11/16/2009
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Provider Practice Location Address
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Address Line | 15101 EAST FWY
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City | CHANNELVIEW
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State | TX
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Zip | 77530-4104
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Country | US
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Telephone | 713-626-3379
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Fax | 713-626-3351
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Provider Business Mailing Address
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Address Line | PO BOX 203616
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City | HOUSTON
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State | TX
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Zip | 77216-3636
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Country | US
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Telephone | 281-358-8114
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Fax | 281-358-0609
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANCIS ROBERTO IBARRA
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Credential | M.D.
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Telephone | 281-348-0426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | H3896
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | H3896
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License Number State | TX
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