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NPI Code Detail

MEDICARE: DIAMOND S YBARBO

MEDICARE:   DIAMOND S YBARBO
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
1225700000XMassage TherapistMT144916TX

General Provider Information

NPI Number : 1982556239
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIAMOND S YBARBO
Provider Business Mailing Address
First Line : 2101 AIRLINE RD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78414-2641
Country : US
Telephone Number : 361-728-2190
Fax Number :
Provider Business Practice Location Address
First Line : 2101 AIRLINE RD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78414-2641
Country : US
Telephone Number : 361-992-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ DIAMOND S YBARBO ” Practice Location

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