MEDICARE: MANUEL YBARRA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	M8444	TX
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	M8444	TX

General Provider Information

NPI Number	:	1053572503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANUEL YBARRA MD

Provider Business Mailing Address
First Line	:	6051 FM 3009 STE 210
Second Line	:
City	:	SCHERTZ
State	:	TX
Zip	:	78154-3473
Country	:	US
Telephone Number	:	210-299-7770
Fax Number	:	833-502-1747

Provider Business Practice Location Address
First Line	:	6051 FM 3009 STE 210
Second Line	:
City	:	SCHERTZ
State	:	TX
Zip	:	78154-3473
Country	:	US
Telephone Number	:	210-299-7770
Fax Number	:	833-502-1747

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2008
Last Update Date	:	10/04/2024

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Directions to “ MANUEL YBARRA MD” Practice Location

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