Provider Demographics
NPI:1275028250
Name:GARZA, RUBEN (CSFA)
Entity Type:Individual
Prefix:MR
First Name:RUBEN
Middle Name:
Last Name:GARZA
Suffix:
Gender:M
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 NASA PKWY STE F
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586-6475
Mailing Address - Country:US
Mailing Address - Phone:832-932-5787
Mailing Address - Fax:
Practice Address - Street 1:3101 NASA PKWY STE F
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:TX
Practice Address - Zip Code:77586-6475
Practice Address - Country:US
Practice Address - Phone:832-932-5787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-22
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX181163246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant