Provider Demographics
NPI:1710018437
Name:GARZA, H. ROSS (MD)
Entity Type:Individual
Prefix:
First Name:H.
Middle Name:ROSS
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 1:2703 OCEAN DR
Mailing Address - Street 2:NONE
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-1741
Mailing Address - Country:US
Mailing Address - Phone:361-884-5063
Mailing Address - Fax:
Practice Address - Street 1:2703 OCEAN DR
Practice Address - Street 2:NONE
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-1741
Practice Address - Country:US
Practice Address - Phone:361-884-5063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC-3669207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX09777Medicare ID - Type UnspecifiedMEDICARE, MEDICAID