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NPI Code Detail

MEDICARE: NATASHA NICOLE IBARRA

MEDICARE: NATASHA NICOLE IBARRA
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
1163W00000XRegistered Nurse886479TX

General Provider Information

NPI Number : 1730660416
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA NICOLE IBARRA
Provider Business Mailing Address
First Line : 110 CYPRESS STATION DR STE 270
Second Line :
City : HOUSTON
State : TX
Zip : 77090-1639
Country : US
Telephone Number : 832-253-1188
Fax Number : 832-253-1181
Provider Business Practice Location Address
First Line : 110 CYPRESS STATION DR STE 270
Second Line :
City : HOUSTON
State : TX
Zip : 77090-1639
Country : US
Telephone Number : 832-253-1188
Fax Number : 832-253-1181
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2018
Last Update Date : 08/22/2018

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Directions to “ NATASHA NICOLE IBARRA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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