Provider Demographics
NPI:1750630455
Name:GARZA, THOMAS AMADEO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:AMADEO
Last Name:GARZA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 W HWY 77
Mailing Address - Street 2:
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-5143
Mailing Address - Country:US
Mailing Address - Phone:956-399-1411
Mailing Address - Fax:956-399-2401
Practice Address - Street 1:205 W HWY 77
Practice Address - Street 2:
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586-5143
Practice Address - Country:US
Practice Address - Phone:956-399-1411
Practice Address - Fax:956-399-2401
Is Sole Proprietor?:No
Enumeration Date:2012-09-10
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51428183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist