Healthcare Provider Details

I. General information

NPI: 1851235295
Provider Name (Legal Business Name): JACQUELINE GARZA SALINAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4502 N CAGE BLVD
PHARR TX
78577-7762
US

IV. Provider business mailing address

4502 N CAGE BLVD
PHARR TX
78577-7762
US

V. Phone/Fax

Practice location:
  • Phone: 956-865-4267
  • Fax:
Mailing address:
  • Phone: 956-865-4267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1027894
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: