Provider Demographics
NPI:1568543593
Name:JOYCE G. GARZA, O.D., P.A.
Entity Type:Organization
Organization Name:JOYCE G. GARZA, O.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:GARCIA
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:210-599-7653
Mailing Address - Street 1:6909 N LOOP 1604 E
Mailing Address - Street 2:SUITE 1170
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-5317
Mailing Address - Country:US
Mailing Address - Phone:210-599-7653
Mailing Address - Fax:210-599-7574
Practice Address - Street 1:6909 N LOOP 1604 E
Practice Address - Street 2:SUITE 1170
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-5317
Practice Address - Country:US
Practice Address - Phone:210-599-7653
Practice Address - Fax:210-599-7574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5123TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX188350601Medicaid
TX00Y103Medicare PIN
TXU56481Medicare UPIN