Provider Demographics
NPI:1811226517
Name:GARZA, MELCHOR (RPH)
Entity Type:Individual
Prefix:
First Name:MELCHOR
Middle Name:
Last Name:GARZA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16590 EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-5723
Mailing Address - Country:US
Mailing Address - Phone:281-488-3424
Mailing Address - Fax:281-488-7436
Practice Address - Street 1:16590 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-5723
Practice Address - Country:US
Practice Address - Phone:281-488-3424
Practice Address - Fax:281-488-7436
Is Sole Proprietor?:No
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33334183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist