MEDICARE: MARIO GARZA DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1261739	TX

General Provider Information

NPI Number	:	1245875541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIO GARZA DPT

Provider Business Mailing Address
First Line	:	3516 MORRIS ST
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78542-4574
Country	:	US
Telephone Number	:	956-328-0811
Fax Number	:

Provider Business Practice Location Address
First Line	:	5413 N 23RD ST
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-4082
Country	:	US
Telephone Number	:	956-994-8880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2019
Last Update Date	:	12/13/2019

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Directions to “ MARIO GARZA DPT” Practice Location

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