Provider Demographics
NPI:1114213568
Name:GARZA, JOEL (CONSTRUCTION CONTRAC)
Entity Type:Individual
Prefix:MR
First Name:JOEL
Middle Name:
Last Name:GARZA
Suffix:
Gender:M
Credentials:CONSTRUCTION CONTRAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 E SAINT JUDE AVE
Mailing Address - Street 2:
Mailing Address - City:ALTON
Mailing Address - State:TX
Mailing Address - Zip Code:78573-6311
Mailing Address - Country:US
Mailing Address - Phone:956-221-1402
Mailing Address - Fax:956-580-7787
Practice Address - Street 1:3200 E SAINT JUDE AVE
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:TX
Practice Address - Zip Code:78573-6311
Practice Address - Country:US
Practice Address - Phone:956-221-1402
Practice Address - Fax:956-580-7787
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor