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Individual

JOSE A GARZA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10400 N CENTRAL EXPY, DALLAS, TX 75231-2297
(469) 733-6751
Mailing address
1005 LA FONTANA, GRAND PRAIRIE, TX 75052-5456
(469) 733-6751

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
510922
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
510922
CERTIFIED SURGICAL TECH
TX
Enumeration date
03/29/2007
Last updated
03/16/2021
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