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Individual

MARCOS ANTONIO GARZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT

Contact information

Practice address
631 CONNALLY ST, SULPHUR SPRINGS, TX 75482-2499
(903) 885-2153
Mailing address
1699 ARBALA RD APT 238, SULPHUR SPRINGS, TX 75482-4760

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6711
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AT6711
TEXAS DEPARTMENT OF LICENSE AND REGULATIONS
TX
Enumeration date
03/15/2022
Last updated
03/15/2022
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