Provider Demographics
NPI:1073559324
Name:GARZA, DAVID EDUARDO (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:EDUARDO
Last Name:GARZA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 450447
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-0010
Mailing Address - Country:US
Mailing Address - Phone:956-717-2971
Mailing Address - Fax:956-717-2973
Practice Address - Street 1:6801 MCPHERSON AVE
Practice Address - Street 2:SUITE 333
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6402
Practice Address - Country:US
Practice Address - Phone:956-717-2971
Practice Address - Fax:956-717-2973
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH8063207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2169031301Medicaid
TXE69206Medicare UPIN
TXTXB102885Medicare PIN