Provider Demographics
NPI:1922316660
Name:DAVID E GARZA, MD, PA
Entity Type:Organization
Organization Name:DAVID E GARZA, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:M,D,
Authorized Official - Phone:210-616-0792
Mailing Address - Street 1:525 OAK CENTRE DR STE 270
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3917
Mailing Address - Country:US
Mailing Address - Phone:210-616-0792
Mailing Address - Fax:210-615-7419
Practice Address - Street 1:525 OAK CENTRE DR STE 270
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3917
Practice Address - Country:US
Practice Address - Phone:210-616-0792
Practice Address - Fax:210-615-7419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5082207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX126422803Medicaid
TXE06980Medicare UPIN
TX00B65UMedicare PIN