Basic Information
Provider Information
NPI: 1720474232
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARZA
FirstName: CARLOS
MiddleName:  
NamePrefix:  
NameSuffix: II
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2102 TREASURE HILLS BLVD
Address2: #3.144.05
City: HARLINGEN
State: TX
PostalCode: 785508736
CountryCode: US
TelephoneNumber: 9562961437
FaxNumber: 9562961326
Practice Location
Address1: 2102 TREASURE HILLS BLVD
Address2: INTERNAL MEDICINE RESIDENCY
City: HARLINGEN
State: TX
PostalCode: 785508736
CountryCode: US
TelephoneNumber: 9563658805
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/10/2015
LastUpdateDate: 08/16/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XBP10052479TXY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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