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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 171WH0202X | Contractor, Home Modifications | – | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | TX |
Practice location
1812 E Honolulu AveAlton, TX 78573-0646
Phone 956-683-7195
Mailing address
1812 E Honolulu AveAlton, TX 78573-0646
Phone 956-683-7195
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.