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Organization
GARZA MEDICAL GROUP @ SOUTH ALAMO
Active
Organization
GARZA MEDICAL GROUP @ SOUTH ALAMO
Active
Other names
Garza Medical Group -South Alamo
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON BOCANEGRA (PRACTICE MANAGER)
(210) 256-1539
Entity
Organization
Contact information
Practice address
5414 FREDERICKSBURG RD STE 265, SAN ANTONIO, TX 78229-3641
(210) 256-1539
(210) 549-0039
Mailing address
5414 FREDERICKSBURG RD STE 265, SAN ANTONIO, TX 78229-3641
(210) 256-1539
(210) 598-0206
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396231320
PPO, HMO AND MARKET PLACE
TX
05
—
1396231320
—
TX
01
—
1972500684
PPO, HMO AND MARKET-PLACE
TX
05
—
1972500684
—
TX
Enumeration date
07/02/2018
Last updated
09/25/2019
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