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Individual

JAIME GARZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
215 E CANO ST, EDINBURG, TX 78539-4509
(956) 292-0444
(956) 292-0446
Mailing address
PO BOX 731, LA VILLA, TX 78562-0731
(956) 292-0444
(956) 292-0446

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
139256
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
139256
TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES ADULT DAY CARE LICENSE
TX
Enumeration date
04/16/2014
Last updated
04/16/2014
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