Individual
ALBERT DE LA GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5005 N PIEDRAS ST, WILLIAM BEAUMONT ARMY MEDICAL CENTER, EL PASO, TX 79920-5001
(915) 569-1386
(915) 569-1233
Mailing address
5005 N PIEDRAS ST, WILLIAM BEAUMONT ARMY MEDICAL CENTER, EL PASO, TX 79920-5001
(915) 569-1386
(915) 569-1233
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A77730
CA
207P00000X
Emergency Medicine Physician
M4026
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31456022
—
NM
01
—
8X1235
BCBS
TX
01
—
P00674964
RAILROAD
TX
Enumeration date
01/29/2007
Last updated
06/10/2009
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