JAVIER ENRIQUE DE LA GARZA, M.D., P.A.
Ambulatory Health at Alton Gloor Blvd, Brownsville, TX

License number
Texas G3279
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. JAVIER ENRIQUE DE LA GARZA M.D.
Title: OWNER/PHYSICIAN
Phone: (956) 350-4788
Address
Address 2
100B E Alton Gloor Blvd SUITE 240, Brownsville, TX 78526
PO Box 279, Rancho Viejo, TX 78575
National Provider ID: 1942436126
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JAVIER ENRIQUE DE LA GARZA, M.D., PA

PO Box 279, Olmito, TX 78575

Status:
Inactive
Registration:
Jun 10, 2009
State ID:
0801133298
Business type:
Professional Association
Director , Member, President, Secretary, Treasurer, Vice-President:
Javier Enrique De La Garza Director , Member, President, Secretary, Treasurer, Vice-President, inactive
Agent:
Carla L De La Garza,100B E Alton Gloor, Brownsville, TX 78526 (Physical)
TIN:
32039702926

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