Provider Demographics
NPI:1508850835
Name:GARZA DE CALDERA, BEATRIZ A (MD)
Entity Type:Individual
Prefix:DR
First Name:BEATRIZ
Middle Name:A
Last Name:GARZA DE CALDERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 E SAUNDERS ST STE A300
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5474
Mailing Address - Country:US
Mailing Address - Phone:956-728-8120
Mailing Address - Fax:956-728-8615
Practice Address - Street 1:1700 E SAUNDERS ST STE A300
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5474
Practice Address - Country:US
Practice Address - Phone:956-728-8120
Practice Address - Fax:956-728-8615
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-01
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8061207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
L8061OtherLICENSE
TX8B7298Medicare PIN
L8061OtherLICENSE