Doctor Name: | GRACIELA DELA GARZA |
NPI Number: | 1386824621 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0091422 |
Business Practice Address: | 756 N Fm 2360 Rio Grande City, TX - 785829726 |
Business Phone Number: | 9564871201 |
Business Fax Number: | 9564871428 |
Mailing Address: | 756 N Fm 2360, RIO GRANDE CITY |
State: | TX |
Postal Code: | 785829726 |
Phone Number: | 9564871201 |
Fax Number: | 9564871428 |
NPI Enumeration Date: | 11/03/2007 |
NPI Last Update Date: | 11/03/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0091422 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |