Provider Demographics
NPI:1518196203
Name:GARZA, RUBEN JR
Entity Type:Individual
Prefix:
First Name:RUBEN
Middle Name:
Last Name:GARZA
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 E CROCKETT AVE
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-5101
Mailing Address - Country:US
Mailing Address - Phone:956-970-9008
Mailing Address - Fax:
Practice Address - Street 1:2101 E CROCKETT AVE
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-5101
Practice Address - Country:US
Practice Address - Phone:956-970-9008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies