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NPI 1821485509

NPI 1821485509 : JESUS E GARZA PA : BROWNSVILLE, TX

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General NPI Number Information
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    NPI Number           |    1821485509
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    Entity Type          |    Individual 
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    Provider Name        |    JESUS E GARZA PA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/21/2015
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    Last Update Date     |    08/06/2025
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Provider Practice Location Address
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    Address Line         |    3475 W ALTON GLOOR BLVD STE A 
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    City                 |    BROWNSVILLE
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    State                |    TX
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    Zip                  |    78520-4474
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    Country              |    US
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    Telephone            |    956-541-6725
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    Fax                  |    956-541-2070
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Provider Business Mailing Address
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    Address Line         |    3475 W ALTON GLOOR BLVD STE A 
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    City                 |    BROWNSVILLE
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    State                |    TX
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    Zip                  |    78520-4474
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    Country              |    US
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    Telephone            |    956-541-6725
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    Fax                  |    956-541-2070
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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       |    PA09522
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    License Number State |    TX
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