Provider Demographics
NPI:1194980128
Name:LIBREROS, JAIRO ANDRES (MD)
Entity type:Individual
Prefix:DR
First Name:JAIRO
Middle Name:ANDRES
Last Name:LIBREROS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:403 OGLETREE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77351-9444
Mailing Address - Country:US
Mailing Address - Phone:936-327-7799
Mailing Address - Fax:936-327-9211
Practice Address - Street 1:403 OGLETREE DR STE 200
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77351-9444
Practice Address - Country:US
Practice Address - Phone:936-327-7799
Practice Address - Fax:936-327-9211
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP0429207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine