Provider Demographics
NPI:1821040429
Name:GARZA, JUAN L (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:L
Last Name:GARZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2150 WEST 18TH STREET
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-4417
Mailing Address - Country:US
Mailing Address - Phone:713-426-0027
Mailing Address - Fax:
Practice Address - Street 1:2150 WEST 18TH STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-4417
Practice Address - Country:US
Practice Address - Phone:713-426-0027
Practice Address - Fax:713-426-0211
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ9876207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG58507Medicare UPIN