Individual
DR. MAURICIO DE LA GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 E DOVE AVE STE 400, MCALLEN, TX 78504
(956) 362-8160
(956) 362-8169
Mailing address
PO BOX 749, PHARR, TX 78577-1614
(956) 362-8160
(956) 362-8169
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
R2318
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370262301
—
TX
Enumeration date
06/25/2009
Last updated
01/29/2019
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