Individual
DR. GARRY C SOUFFRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 PEASE ST, HARLINGEN, TX 78550-8307
(956) 296-1491
(956) 389-4603
Mailing address
1706 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8911
(956) 365-6750
(956) 365-6779
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M0929
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171757101
—
TX
05
—
171757103
—
TX
05
—
171757105
—
TX
01
—
H08FR81001
BCBS
TX
Enumeration date
07/26/2006
Last updated
12/12/2024
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