Provider Demographics
NPI:1164050498
Name:MANUEL YBARRA MD PLLC
Entity Type:Organization
Organization Name:MANUEL YBARRA MD PLLC
Other - Org Name:RELEVIIMED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:YBARRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-299-7770
Mailing Address - Street 1:6051 FM 3009 STE 210
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-3473
Mailing Address - Country:US
Mailing Address - Phone:210-299-7770
Mailing Address - Fax:833-502-1747
Practice Address - Street 1:6051 FM 3009 STE 210
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-3473
Practice Address - Country:US
Practice Address - Phone:210-299-7770
Practice Address - Fax:210-545-3671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-31
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty