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General NPI Number Information
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NPI Number | 1720474232
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Entity Type | Individual
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Provider Name | CARLOS GARZA II M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2015
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Last Update Date | 08/16/2016
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Provider Practice Location Address
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Address Line | 2102 TREASURE HILLS BLVD INTERNAL MEDICINE RESIDENCY
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City | HARLINGEN
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State | TX
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Zip | 78550-8736
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Country | US
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Telephone | 956-365-8805
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Fax |
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Provider Business Mailing Address
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Address Line | 2102 TREASURE HILLS BLVD #3.144.05
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City | HARLINGEN
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State | TX
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Zip | 78550-8736
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Country | US
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Telephone | 956-296-1437
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Fax | 956-296-1326
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP10052479
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License Number State | TX
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