Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | M6141 | TX |
Y | 208600000X | Surgeon | M6141 | TX |
N | 2086S0120X | Pediatric Surgery | 24288 | OK |
N | 2086S0120X | Pediatric Surgery | M6141 | TX |
NPI | 1568502912 |
---|---|
Provider Name | Jennifer Garza |
First Address | Mcallen, TX 78504-3599 |
Second Address | Mcallen, TX 78504-3599 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2007 |
Last Update Date | 10/02/2022 |