Provider Demographics
NPI:1346838489
Name:GARZA, MIGUEL JAVIER (CPHT)
Entity Type:Individual
Prefix:MR
First Name:MIGUEL
Middle Name:JAVIER
Last Name:GARZA
Suffix:
Gender:M
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3106 LONDON DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-0138
Mailing Address - Country:US
Mailing Address - Phone:956-212-1186
Mailing Address - Fax:
Practice Address - Street 1:601 S NEBRASKA AVE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:TX
Practice Address - Zip Code:78589-2699
Practice Address - Country:US
Practice Address - Phone:956-212-1186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117234183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician