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General NPI Number Information
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NPI Number | 1679464101
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Entity Type | Individual
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Provider Name | JOSE LUIS GARZA
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Gender | Male
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Dates
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Enumeration Date | 07/12/2025
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Last Update Date | 07/12/2025
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Provider Practice Location Address
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Address Line | 216 N MINA DE ORO ST # A
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City | MISSION
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State | TX
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Zip | 78572-6765
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Country | US
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Telephone | 956-960-2364
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Fax | 956-960-2364
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Provider Business Mailing Address
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Address Line | 216 N MINA DE ORO ST
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City | MISSION
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State | TX
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Zip | 78572-6765
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Country | US
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Telephone | 956-960-2364
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Fax | 956-960-2364
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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 | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State | TX
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