Individual
GUSTAVO AXEL GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1505 CALLE DEL NORTE STE 440, LAREDO, TX 78041-6040
(956) 722-6221
(956) 722-6275
Mailing address
1505 CALLE DEL NORTE STE 440, LAREDO, TX 78041-6040
(956) 722-6221
(956) 722-6275
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120946
TX
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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