Provider Demographics
NPI:1962867390
Name:GARZA, HECTOR (OT)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:
Last Name:GARZA
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 DIAMOND AVE. STE 2
Mailing Address - Street 2:
Mailing Address - City:LA JOYA
Mailing Address - State:TX
Mailing Address - Zip Code:78560
Mailing Address - Country:US
Mailing Address - Phone:956-424-3646
Mailing Address - Fax:956-580-2311
Practice Address - Street 1:208 DIAMOND AVE. STE 2
Practice Address - Street 2:
Practice Address - City:LA JOYA
Practice Address - State:TX
Practice Address - Zip Code:78560
Practice Address - Country:US
Practice Address - Phone:956-424-3646
Practice Address - Fax:956-580-2311
Is Sole Proprietor?:No
Enumeration Date:2015-12-30
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115568225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist