Provider Demographics
NPI:1043520778
Name:DANIEL R GARZA, MD, PA
Entity Type:Organization
Organization Name:DANIEL R GARZA, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-610-8190
Mailing Address - Street 1:2323 S SHEPHERD DRIVE
Mailing Address - Street 2:SUITE 805
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-7019
Mailing Address - Country:US
Mailing Address - Phone:281-610-8190
Mailing Address - Fax:713-942-2269
Practice Address - Street 1:2323 S SHEPHERD DRIVE
Practice Address - Street 2:SUITE 805
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-7019
Practice Address - Country:US
Practice Address - Phone:281-610-8190
Practice Address - Fax:713-942-2269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK55382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX612552Medicare PIN
TXH43272Medicare UPIN