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709 E Calton Rd Ste 104 Laredo TX 78041-3664 | |
| (956) 821-1479 | |
| (956) 729-1504 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 709 E Calton Rd Ste 104, Laredo, Texas |
| Authorized Official Name and Position | Zonia G Garza (OWNER) |
| Authorized Official Contact | 9568211479 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
709 E Calton Rd Ste 104 Laredo TX 78041-3664 Ph: (956) 821-1479 | 709 E Calton Rd Ste 104 Laredo TX 78041-3664 Ph: (956) 821-1479 |
| NPI Number | 1376383851 |
|---|---|
| Provider Enumeration Date | 05/30/2024 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Medicare PECOS PAC ID | 8527509736 |
|---|---|
| Medicare Enrollment ID | O20240916000691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376383851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Zonia G Garza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689831661 PECOS PAC ID: 0345781555 Enrollment ID: I20240916000732 |
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