Provider Demographics
NPI:1407082761
Name:RAFAEL GARZA M.D.P.A.
Entity Type:Organization
Organization Name:RAFAEL GARZA M.D.P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-323-7950
Mailing Address - Street 1:201 W JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-2837
Mailing Address - Country:US
Mailing Address - Phone:956-323-1350
Mailing Address - Fax:956-323-1351
Practice Address - Street 1:906 S BRYAN RD STE 205
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-6656
Practice Address - Country:US
Practice Address - Phone:956-323-1530
Practice Address - Fax:956-323-1531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-01
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC5440261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center