Organization
JOSE N. GARICA-DAVALOS MD
Active
Parent organization
JOSE N. GARCIA-DAVALOS MD
Other names
LAREDO MEDICAL OPTICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOSE N. GARCIA-DAVALOS MD
Authorized official
DR. JOSE N GARCIA-DAVALOS M.D. (OPHTHALMOLOGIST)
(956) 791-2023
Entity
Organization
Contact information
Practice address
6416 POLARIS DR STE 101, LAREDO, TX 78041-2088
(956) 791-2023
(956) 791-0144
Mailing address
6416 POLARIS DR STE 1, LAREDO, TX 78041-2089
(956) 791-2023
(956) 791-0144
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154509701
—
TX
Enumeration date
03/09/2007
Last updated
12/13/2024
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