Individual
GUSTAVO GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
191 E PRICE RD, BROWNSVILLE, TX 78521-3527
(956) 548-7400
(956) 621-3689
Mailing address
191 E PRICE RD, BROWNSVILLE, TX 78521-3527
(956) 548-7400
(956) 621-3689
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12767
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407460102
—
TX
Enumeration date
05/16/2019
Last updated
05/12/2021
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