Provider Demographics
NPI:1376883942
Name:GARZA, JOAQUIN (PA-C)
Entity Type:Individual
Prefix:
First Name:JOAQUIN
Middle Name:
Last Name:GARZA
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 N G ST STE 140
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6550
Mailing Address - Country:US
Mailing Address - Phone:956-686-6100
Mailing Address - Fax:956-686-6115
Practice Address - Street 1:5300 N G ST STE 140
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-6550
Practice Address - Country:US
Practice Address - Phone:956-686-6100
Practice Address - Fax:956-686-6115
Is Sole Proprietor?:No
Enumeration Date:2013-02-19
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA08390363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant