| Javier O. De La Garza, Dds, Pa | |
|
901 E 6th St Ste 2 Weslaco TX 78596-6449 | |
| (956) 968-8713 | |
| (956) 973-9649 |
| Full Name | Javier O. De La Garza, Dds, Pa |
|---|---|
| Speciality | Dentist |
| Location | 901 E 6th St Ste 2, Weslaco, Texas |
| Authorized Official Name and Position | Javier O De La Garza (DENTIST) |
| Authorized Official Contact | 9569688713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Javier O. De La Garza, Dds, Pa 901 E 6th St Ste 2 Weslaco TX 78596-6449 Ph: (956) 968-8713 | Javier O. De La Garza, Dds, Pa 901 E 6th St Ste 2 Weslaco TX 78596-6449 Ph: (956) 968-8713 |
| NPI Number | 1275728909 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 09/06/2007 |
| Medicare PECOS PAC ID | 6608105598 |
|---|---|
| Medicare Enrollment ID | O20190830001937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275728909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21334 (Texas) | Primary |
| Provider Name | Javier O. De La Garza |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1114240363 PECOS PAC ID: 7416286307 Enrollment ID: I20190903000005 |
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