De La Garza, Mauricio

De La Garza, Mauricio is an individual health care provider with primary practice located at 1100 E Dove Ave Ste 400 , Mcallen TX 78504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. De La Garza, Mauricio can be contacted via phone (956) 362-8160.

Contact Information

Primary practice address
1100 E Dove Ave Ste 400 Mcallen TX 78504
Phone: (956) 362-8160
Fax: (956) 362-8169
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X R2318 Texas

Profile Details

NPI number 1336377563
LBN Legal business name De La Garza, Mauricio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2009
Last updated Jan 29th, 2019 - about 5 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 1336377563 NPPES
Texas MEDICAID 370262301

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