Individual provider · NPI-1

Jesus Socorro Garza Jr.

Contractor, Home Modifications · Alton, TX

NPI number1487206298
StatusActive
Last updated in NPPESMay 6, 2026

Details

NPI
1487206298
Entity type
Individual (NPI-1)
Name
Jesus Socorro Garza Jr.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 11, 2019
Certification date
May 6, 2026
Last updated
May 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171WH0202X Contractor, Home Modifications–TXYes
332B00000X Durable Medical Equipment & Medical Supplies–TX

Practice location

1812 E Honolulu Ave
Alton, TX 78573-0646

Phone 956-683-7195

Mailing address

1812 E Honolulu Ave
Alton, TX 78573-0646

Phone 956-683-7195

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