Provider Demographics
NPI:1497748347
Name:GARZA, ORLANDO THOMAS (MD)
Entity Type:Individual
Prefix:
First Name:ORLANDO
Middle Name:THOMAS
Last Name:GARZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2129
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79760-2129
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:519 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-4429
Practice Address - Country:US
Practice Address - Phone:432-640-6446
Practice Address - Fax:432-640-6493
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-25
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD9451207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00RC44OtherBCBS
TX2315986OtherBCBS
TX00RC44OtherTRICARE
TX2315986OtherBCBS