Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | BP20069399 | TX |
NPI | 1144679556 |
---|---|
Provider Name | Dr. Rigoberto Garza |
First Address | Groves, TX 77619 |
Second Address | Groves, TX 77619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2016 |
Last Update Date | 26/07/2021 |