Individual
DR. JORGE LUIS DE LA GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
224 LINDBERG AVE, MCALLEN, TX 78501-2920
(956) 971-0066
(956) 971-0072
Mailing address
PO BOX 720385, MCALLEN, TX 78504-0385
(956) 971-0066
(956) 971-0072
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G3280
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8442B9
BLUE CROSS BLUE SHIELD
TX
01
—
A002
TRICARE
TX
Enumeration date
07/13/2005
Last updated
07/08/2007
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