Individual
MR. JASON ASHELY GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
2317 WALNUT ST, WHARTON, TX 77488-2546
(979) 533-2522
Mailing address
2317 WALNUT ST, WHARTON, TX 77488-2546
(979) 533-2522
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2080310
TX
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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