De La Garza, Jorge Luis

De La Garza, Jorge Luis is an sole proprietor health care provider with primary practice located at 224 Lindberg Ave , Mcallen TX 78501-2920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. De La Garza, Jorge Luis can be contacted via phone (956) 971-0066.

Contact Information

Primary practice address
224 Lindberg Ave Mcallen TX 78501-2920
Fax: (956) 971-0072
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G3280 Texas

Profile Details

NPI number 1104824184
LBN Legal business name De La Garza, Jorge Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104824184 NPPES
Texas Other A002 TRICARE
Texas Other 8442B9 TRICARE

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