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General NPI Number Information
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NPI Number | 1710287966
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Entity Type | Organization
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Legal Business Name | MARTHA MARIE GARZA MD PA
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Dates
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Enumeration Date | 10/21/2010
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Last Update Date | 10/21/2010
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Provider Practice Location Address
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Address Line | 4499 MEDICAL DR STE. 151
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3735
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Country | US
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Telephone | 210-614-3352
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Fax | 210-614-0945
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Provider Business Mailing Address
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Address Line | 4499 MEDICAL DR STE. 151
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3735
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Country | US
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Telephone | 210-614-3352
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Fax | 210-614-0945
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARTHA MARIE GARZA
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Credential | MD
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Telephone | 210-614-3352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | G3384
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License Number State | TX
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