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General NPI Number Information
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NPI Number | 1831511765
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Entity Type | Organization
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Legal Business Name | JORGE A. GARZA, M.D., P.A.
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Dates
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Enumeration Date | 01/12/2014
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Last Update Date | 01/22/2014
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Provider Practice Location Address
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Address Line | 3326 SE MILITARY DR SUITE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78223-3983
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Country | US
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Telephone | 210-860-6218
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Fax |
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Provider Business Mailing Address
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Address Line | 3326 SE MILITARY DR SUITE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78223-3983
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Country | US
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Telephone | 210-860-6218
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JORGE ALBERTO GARZA
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Credential | M.D.
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Telephone | 210-860-6218
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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 |
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License Number State |
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