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1063933968
MARIO GARCIA GONZALEZ
FORT WORTH, TX
NPI
1063933968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA11319)
Enumeration Date
2017-06-29
Last Update Date
2019-02-25
Business Address
MARIO GARCIA GONZALEZ PA
601 W TERRELL AVE
FORT WORTH, TX 76104-3243
Phone number: 817-702-8300
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Mailing Address
MARIO GARCIA GONZALEZ PA
PO BOX 732973
DALLAS, TX 75373-2973
Phone number: 817-702-8450
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