Individual
IVAN GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8603 STILL MOON, SAN ANTONIO, TX 78245-1380
(210) 535-3842
Mailing address
8603 STILL MOON, SAN ANTONIO, TX 78245-1380
(210) 535-3842
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
324608
TX
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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