Individual
DR. JOSE N GARCIA-DAVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6416 POLARIS DR STE 1B, LAREDO, TX 78041-2089
(956) 791-7100
(956) 791-0144
Mailing address
6416 POLARIS DR STE 1B, LAREDO, TX 78041-2089
(956) 791-7100
(956) 791-0144
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
F3131
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G65E
BLUE CROSS BLUE SHIELD
TX
05
—
130372907
—
TX
01
—
742595954
TAX ID
TX
Enumeration date
08/02/2006
Last updated
12/13/2024
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