Garza Therapeutic, Llc | |
33 E. Wentwroth Ave. #292 West St. Paul MN 55113 | |
(651) 917-8698 | |
(866) 879-4712 |
Full Name | Garza Therapeutic, Llc |
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Speciality | Community/behavioral Health |
Location | 33 E. Wentwroth Ave., West St. Paul, Minnesota |
Authorized Official Name and Position | Roy Garza (CLININCAL DIRECTOR) |
Authorized Official Contact | 6513248341 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Garza Therapeutic, Llc 33 Wentworth Ave E #292 West St Paul MN 55118-3431 Ph: (651) 917-8698 | Garza Therapeutic, Llc 33 E. Wentwroth Ave. #292 West St. Paul MN 55113 Ph: (651) 917-8698 |
NPI Number | 1205105103 |
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Provider Enumeration Date | 12/21/2011 |
Last Update Date | 03/06/2012 |
Identifier | Type | State | Issuer |
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1205105103 | NPI | - | NPPES |
900002696 | Other | MN | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 12842 (Minnesota) | Primary |