Organization
JESSICA GARZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA GARZA L.V.N. (ADMINISTRATOR)
(956) 583-4309
Entity
Organization
Contact information
Practice address
701 N AVASOLO ST STE F, RIO GRANDE CITY, TX 78582
(956) 583-4309
(956) 583-4311
Mailing address
2000 S MCCOLL RD, STE B # 204, MCALLEN, TX 78503-1516
(956) 583-4309
(956) 583-4311
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220613801
—
TX
05
—
220613802
—
TX
Enumeration date
08/03/2010
Last updated
09/16/2019
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