Individual
GUADALUPE GARZA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6262 MCPHERSON RD STE 110, LAREDO, TX 78041-6183
(956) 725-4555
(956) 725-4555
Mailing address
6262 MCPHERSON RD STE 110, LAREDO, TX 78041-6183
(956) 725-4555
(956) 725-4555
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
014675
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992087720
—
TX
Enumeration date
12/16/2019
Last updated
12/16/2019
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