Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 15618 | TX |
Y | 213EG0000X | General Practice | 15618 | TX |
NPI | 1003919689 |
---|---|
Provider Name | Dr. Sonia Garza Rodriguez |
First Address | Laredo, TX 78041 |
Second Address | Laredo, TX 78041 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 08/07/2007 |