Provider Demographics
NPI:1487656427
Name:GARZA, HEBERTO JR (MD)
Entity Type:Individual
Prefix:DR
First Name:HEBERTO
Middle Name:
Last Name:GARZA
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:5307 BROADWAY ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-5743
Mailing Address - Country:US
Mailing Address - Phone:210-824-3130
Mailing Address - Fax:210-828-7123
Practice Address - Street 1:5307 BROADWAY ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-5743
Practice Address - Country:US
Practice Address - Phone:210-824-3130
Practice Address - Fax:210-828-7123
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK9277207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH21365Medicare UPIN