Provider Demographics
NPI:1851774129
Name:GARZA, ADRIAN O
Entity Type:Individual
Prefix:MR
First Name:ADRIAN
Middle Name:O
Last Name:GARZA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 BURLESON RD APT 203
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-5605
Mailing Address - Country:US
Mailing Address - Phone:956-457-9482
Mailing Address - Fax:
Practice Address - Street 1:2500 BURLESON RD APT 203
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741-5605
Practice Address - Country:US
Practice Address - Phone:956-457-9482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-06
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst