Provider Demographics
NPI:1194008433
Name:GARZA, JOSE LUIS II (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:LUIS
Last Name:GARZA
Suffix:II
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3310 LOUISIANA ST APT 2111
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-6634
Mailing Address - Country:US
Mailing Address - Phone:361-876-7053
Mailing Address - Fax:
Practice Address - Street 1:11107 MARKET STREET RD
Practice Address - Street 2:
Practice Address - City:JACINTO CITY
Practice Address - State:TX
Practice Address - Zip Code:77029-2301
Practice Address - Country:US
Practice Address - Phone:361-876-7053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50295183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist