Garza, Mayra Guadalupe

Garza, Mayra Guadalupe is an individual health care provider with primary practice located at 1515 Pappas St , Laredo TX 78041-1705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Garza, Mayra Guadalupe can be contacted via phone (956) 523-3683.

Contact Information

Primary practice address
1515 Pappas St Laredo TX 78041-1705
Fax: (956) 718-6294
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA07953 Texas

Profile Details

NPI number 1669718110
LBN Legal business name Garza, Mayra Guadalupe
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2013
Last updated Oct 30th, 2013 - about 12 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 1669718110 NPPES
Texas Other PA07953 LICENSE

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