Provider Demographics
NPI:1518272244
Name:GARZORIA, RENE (RPH)
Entity Type:Individual
Prefix:MR
First Name:RENE
Middle Name:
Last Name:GARZORIA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 SAN DIEGO AVE
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-1857
Mailing Address - Country:US
Mailing Address - Phone:956-371-5641
Mailing Address - Fax:956-574-0442
Practice Address - Street 1:2155 PAREDES LINE RD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-1609
Practice Address - Country:US
Practice Address - Phone:956-574-9710
Practice Address - Fax:956-574-0442
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31512183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist