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Individual
MARCEL ANDRE GARZA
Active
Individual
MARCEL ANDRE GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03115
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y1982
BCBS ID
TX
01
—
PA03115
MEDICAL LICENSE
TX
Enumeration date
06/13/2007
Last updated
10/16/2007
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