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Sunrise Total Mind Wellness Referrals

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Referred by

  • Referring physician: Arturo garza-gongora
  • Referring physician contact number: 956-718-6966
  • Practice name: Dr.Arturo Garza-Gongora
  • Practice contact name: Dr. Arturo Garza-Gongora
  • Practice phone number: 956-718-6966
  • Practice fax number: 956-795-4760

Patient information

  • Preferred name: Leticia Henry
  • DOB: November 16, 1954
  • Sex: Female
  • Race: White
  • Preferred language: English
  • Marital status: Married
  • Contact number: 956-231-3614
  • Email address: lhenry1989@icloud.com
  • Address: 201 E Del Mar Blvd
    unit 109
    Laredo, Texas 78041
  • Reason for visit:

    evaluation and treatment for anxiety, depression.

Insurance information

  • Insurance policy holder’s name: Leticia Henry
  • Insurance policy holder’s DOB: November 16, 1954
  • Primary insurance ID: 101110323000
  • Primary insurance Group: 000
  • Secondary insurance ID: 710567861
  • Secondary insurance Group: QMXEM00777