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General NPI Number Information
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NPI Number | 1952590580
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Entity Type | Organization
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Legal Business Name | OMAR D GARZA, OD, PA
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 06/30/2014
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Provider Practice Location Address
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Address Line | 1343 FAIR AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78223-1437
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Country | US
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Telephone | 210-533-0101
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Fax | 210-533-9292
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Provider Business Mailing Address
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Address Line | PO BOX 23007
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City | SAN ANTONIO
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State | TX
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Zip | 78223-0007
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Country | US
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Telephone | 210-533-0101
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Fax | 210-533-9292
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OMAR D GARZA
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Credential | O.D.
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Telephone | 210-846-3252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5979T
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License Number State | TX
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