Provider Demographics
NPI:1093195455
Name:GARZA, JOSE
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:
Last Name:GARZA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 N MCCOLL RD
Mailing Address - Street 2:APT. 925
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-9105
Mailing Address - Country:US
Mailing Address - Phone:956-292-4488
Mailing Address - Fax:
Practice Address - Street 1:3801 N MCCOLL RD
Practice Address - Street 2:APT. 925
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-9105
Practice Address - Country:US
Practice Address - Phone:956-292-4488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-01
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57990227900000X, 2279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered
No2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care