Marc Ibanez MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MARC IBANEZ MD PA

Practice address

5424 Holly Rd
Corpus Christi, TX 78411-4635

Phone

(361) 334-0937

Fax

(361) 271-1423

NPI assigned

Jan 2, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marc A Ibanez, MDNPI 1851497903

Title

Ceo

Phone

(361) 500-1431

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc A Ibanez, MD

  • Internal Medicine Physician
  • Alice, TX
  • NPI 1851497903
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1811536220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 HOLLY RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114635",
            "telephone_number": "361-334-0937",
            "fax_number": "361-271-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 HOLLY RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114635",
            "telephone_number": "361-334-0937",
            "fax_number": "361-271-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC IBANEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "IBANEZ",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-500-1431",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charliann Manny
• Rabeea Mansoor, M.D
• Hannah Manzano, FNP-C
• Monica Michelle Manzano, OTA
• Goharam Manzoor, MD
• Jeffrey Marcee, NP
• Marcel Marcelo, FNP
• Ann E Marchetta, NP
• Kevin S Marcum, P.A.-C.
• Dominique Anthony Mares, CSFA

• Primary Care Clinic/Center in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.