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General NPI Number Information
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NPI Number | 1619994134
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Entity Type | Individual
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Provider Name | JULIO F GARZA PA
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 3300 CENTER ST
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City | DEER PARK
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State | TX
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Zip | 77536-5058
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Country | US
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Telephone | 855-925-4733
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Fax |
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Provider Business Mailing Address
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Address Line | 406 BAYOU VIEW DR
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City | EL LAGO
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State | TX
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Zip | 77586-6106
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Country | US
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Telephone | 281-455-2111
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA02523
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License Number State | TX
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