Provider Demographics
NPI:1992926505
Name:FONSECA, ORLANDO GARZA (MD)
Entity type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:GARZA
Last Name:FONSECA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:9190 KATY FWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-7455
Mailing Address - Country:US
Mailing Address - Phone:713-464-1919
Mailing Address - Fax:713-464-1023
Practice Address - Street 1:9190 KATY FWY
Practice Address - Street 2:SUITE 201
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-7455
Practice Address - Country:US
Practice Address - Phone:713-464-1919
Practice Address - Fax:713-464-1023
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2012-05-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM6133207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine