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Dr. Randolph A Ibarra

Dentist - General Practice

8744 Grissom Rd
San Antonio , Texas 78251-4819

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Dr. Randolph A Ibarra

Dentist - General Practice

8744 Grissom Rd
San Antonio , Texas 78251-4819

(210) 623-6112

Write a Review Save Call

Dr. Randolph A Ibarra

Dentist - General Practice

8744 Grissom Rd
San Antonio , Texas 78251-4819

(210) 623-6112 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • General Practice

Languages spoken

  • English

Location

8744 Grissom Rd San Antonio , Texas 78251-4819

First Address

  • Dr. Randolph A Ibarra
  • 8355 Crestway Dr 1126
  • Converse, TX
  • Zip : 78109-3596
  • Phone : (210) 623-6112

Second Address

  • Dr. Randolph A Ibarra
  • 8744 Grissom Rd
  • San Antonio, TX
  • Zip : 78251-4819
  • Fax : (210) 523-0067
  • Phone : (210) 523-0000

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FAQs


Where did Dr. Randolph A Ibarra attend graduate school?

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Where did Dr. Randolph A Ibarra do his residency?

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Where did Dr. Randolph A Ibarra do his fellowship?

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Is Dr. Randolph A Ibarra board certified?

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What type of doctor is Dr. Randolph A Ibarra

Dentist - General Practice

In what state does Dr. Randolph A Ibarra practice in?

Texas

Where is Dr. Randolph A Ibarra ’s practice located?

8744 Grissom Rd , San Antonio, Texas, 78251-4819

What is Dr. Randolph A Ibarra ’s gender?

Male

Is Dr. Randolph A Ibarra a sole practitioner?

No

Is Dr. Randolph A Ibarra accepting new patients?

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What languages does Dr. Randolph A Ibarra speak?

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Does Dr. Randolph A Ibarra accept insurance?

Yes, Dr. Randolph A Ibarra accepts insurance

Does Dr. Randolph A Ibarra offers telemedicine?

Dr. Randolph A Ibarra has not indicated if he offers telemedicine

What is Dr. Randolph A Ibarra ’s professional license number?

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What is Dr. Randolph A Ibarra ’s NPI number?

1003878034

Does Dr. Randolph A Ibarra have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223G0001X General Practice 14645 TX
Y 213EG0000X General Practice 14645 TX

National Provider Identifier

NPI 1003878034
Provider Name Dr. Randolph A Ibarra
First Address Converse, TX 78109-3596
Second Address San Antonio, TX 78251-4819
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 05/04/2006
Last Update Date 08/07/2007

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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