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NPI Code Detail

MEDICARE: DR. BEATRIZ A GARZA DE CALDERA MD

MEDICARE: DR. BEATRIZ A GARZA DE CALDERA MD
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
1207Q00000XFamily Medicine PhysicianL8061TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1L8061OTHERLICENSE

General Provider Information

NPI Number : 1508850835
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BEATRIZ A GARZA DE CALDERA MD
Provider Business Mailing Address
First Line : 1700 E SAUNDERS ST STE A300
Second Line :
City : LAREDO
State : TX
Zip : 78041-5474
Country : US
Telephone Number : 956-728-8120
Fax Number : 956-728-8615
Provider Business Practice Location Address
First Line : 1700 E SAUNDERS ST STE A300
Second Line :
City : LAREDO
State : TX
Zip : 78041-5474
Country : US
Telephone Number : 956-728-8120
Fax Number : 956-728-8615
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2005
Last Update Date : 08/03/2016

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