Provider Demographics
NPI:1568502912
Name:GARZA, JENNIFER (MD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:GARZA
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 1:6316 N 10TH ST
Mailing Address - Street 2:BUILDING F
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3599
Mailing Address - Country:US
Mailing Address - Phone:956-631-3713
Mailing Address - Fax:
Practice Address - Street 1:6316 N 10TH ST
Practice Address - Street 2:BUILDING F
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3599
Practice Address - Country:US
Practice Address - Phone:956-631-3713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM61412086S0120X, 208600000X
OK242882086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery