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General NPI Number Information
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NPI Number | 1639173982
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Entity Type | Individual
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Provider Name | JORGE ALBERTO GARZA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 8019 S NEW BRAUNFELS STE 105
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City | SAN ANTONIO
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State | TX
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Zip | 78235-1069
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Country | US
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Telephone | 210-304-8282
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Fax | 210-224-8801
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Provider Business Mailing Address
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Address Line | 8019 S NEW BRAUNFELS STE 105
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City | SAN ANTONIO
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State | TX
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Zip | 78235-1069
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Country | US
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Telephone | 210-304-8282
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Fax | 210-304-8283
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | H5444
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License Number State | TX
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