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Individual
ROY GARZA
Active
Individual
ROY GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1176369
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1176369
STATE LICENSE
TX
Enumeration date
06/11/2008
Last updated
06/11/2008
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