Provider Demographics
NPI:1568464683
Name:GARZA, SUZANNA P (MD)
Entity Type:Individual
Prefix:
First Name:SUZANNA
Middle Name:P
Last Name:GARZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SUZANNA
Other - Middle Name:
Other - Last Name:PICKETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:332 W COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205-2409
Mailing Address - Country:US
Mailing Address - Phone:210-207-5738
Mailing Address - Fax:210-207-6359
Practice Address - Street 1:332 W COMMERCE ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205-2409
Practice Address - Country:US
Practice Address - Phone:210-207-5738
Practice Address - Fax:210-207-6359
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE80961208M00000X
TXF9955251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE80961Medicare UPIN