Provider Demographics
NPI:1043460124
Name:CADENA-GARZA, ARACELY (MD)
Entity type:Individual
Prefix:
First Name:ARACELY
Middle Name:
Last Name:CADENA-GARZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2813 E GRIFFIN PKWY STE D
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3573
Mailing Address - Country:US
Mailing Address - Phone:956-591-7428
Mailing Address - Fax:956-591-7494
Practice Address - Street 1:101 S BROADWAY
Practice Address - Street 2:
Practice Address - City:ELSA
Practice Address - State:TX
Practice Address - Zip Code:78543-0035
Practice Address - Country:US
Practice Address - Phone:956-262-1304
Practice Address - Fax:956-262-3929
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2022-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9897207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX212750803Medicaid
TXM9897OtherPHY LIC. NO.
TXM9897OtherPHY LIC. NO.
TX613536/GROUP PTANMedicare PIN