Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | DC7400 | TX |
NPI | 1013949825 |
---|---|
Provider Name | Dr. Jose Luis Garza JR. |
First Address | Friendswood, TX 77546 |
Second Address | Houston, TX 77017-4503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 08/07/2007 |