Javier Enrique de la Garza, M.D., P.a.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

G3279 Issued in TX

Legal business name

JAVIER ENRIQUE DE LA GARZA, M.D., P.A.

Practice address

100B E Alton Gloor Blvd
Suite 240
Brownsville, TX 78526-3376

Phone

(956) 350-4788

Fax

(956) 350-9547

NPI assigned

Jun 2, 2009

Last updated

Apr 19, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Javier Enrique De la Garza, M.D.

Title

Owner/Physician

Phone

(956) 350-4788

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carla Lyn De la Garza, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Montgomery, AL
  • NPI 1871931832
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1942436126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "OLMITO",
            "state": "TX",
            "postal_code": "785750279",
            "telephone_number": "956-350-4788",
            "fax_number": "956-350-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100B E ALTON GLOOR BLVD",
            "address_2": "SUITE 240",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263376",
            "telephone_number": "956-350-4788",
            "fax_number": "956-350-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIER ENRIQUE DE LA GARZA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "DE LA GARZA",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "956-350-4788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "G3279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ricardo Jaramillo
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• Medical Specialty Clinic/Center in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.