IndividualActive
Christopher Ibarra, PTA
NPI 1265097968 · Physical Therapy Assistant · Brenham, TX
Provider details
- NPI number
- 1265097968
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 2094562 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1303 Highway 290 E
Brenham, TX 77833-5928
Phone: (979) 830-7100
Fax: (979) 830-0820
Approximate (ZIP-level) locationGet directions
Mailing address
2400 Carnation Ct
College Station, TX 77840-4048
Registry dates
- Enumerated
- 2019-05-08
- Last updated
- 2023-11-27
- Certified
- 2020-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.