Provider Demographics
NPI:1821706292
Name:DR. GARZA PLASTIC SURGERY, PLLC
Entity Type:Organization
Organization Name:DR. GARZA PLASTIC SURGERY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:210-929-1548
Mailing Address - Street 1:540 MADISON OAK DR STE 240
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3920
Mailing Address - Country:US
Mailing Address - Phone:210-801-8585
Mailing Address - Fax:210-801-8583
Practice Address - Street 1:540 MADISON OAK DR STE 240
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3920
Practice Address - Country:US
Practice Address - Phone:210-801-8585
Practice Address - Fax:210-801-8583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty