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General NPI Number Information
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NPI Number | 1861761389
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Entity Type | Organization
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Legal Business Name | ENRIQUE S. GARZA, M.D., P.A.
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Dates
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Enumeration Date | 12/29/2011
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Last Update Date | 12/29/2011
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Provider Practice Location Address
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Address Line | 730 N MAIN AVE STE 615
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City | SAN ANTONIO
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State | TX
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Zip | 78205-1152
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Country | US
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Telephone | 210-212-9597
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Fax | 210-212-9179
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Provider Business Mailing Address
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Address Line | 730 N MAIN AVE STE 615
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City | SAN ANTONIO
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State | TX
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Zip | 78205-1152
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Country | US
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Telephone | 210-212-9597
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Fax | 210-212-9179
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ENRIQUE S GARZA
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Credential | M.D.
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Telephone | 210-212-9597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | E5375
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License Number State | TX
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