Provider Demographics
NPI:1003880162
Name:GARZA-GONGORA, ARTURO G (MD)
Entity Type:Individual
Prefix:MR
First Name:ARTURO
Middle Name:G
Last Name:GARZA-GONGORA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7210 MCPHERSON AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6507
Mailing Address - Country:US
Mailing Address - Phone:956-718-6966
Mailing Address - Fax:956-795-4760
Practice Address - Street 1:7210 MCPHERSON AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6507
Practice Address - Country:US
Practice Address - Phone:956-718-6966
Practice Address - Fax:956-795-4760
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG1404207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1394793-18Medicaid
TX1394793-18Medicaid
TX00637FMedicare PIN