Provider Demographics
NPI:1609831353
Name:GARZA, HOMERO REMEDIOS (MD)
Entity Type:Individual
Prefix:DR
First Name:HOMERO
Middle Name:REMEDIOS
Last Name:GARZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7950 FLOYD CURL DR
Mailing Address - Street 2:STE 700
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3926
Mailing Address - Country:US
Mailing Address - Phone:210-692-0707
Mailing Address - Fax:210-615-0339
Practice Address - Street 1:7950 FLOYD CURL DR
Practice Address - Street 2:STE 700
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3926
Practice Address - Country:US
Practice Address - Phone:210-692-0707
Practice Address - Fax:210-615-0339
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0470207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130905605Medicaid
TX130905605Medicaid
TX00H71LMedicare PIN