Provider Demographics
NPI:1205934098
Name:DE LA GARZA, CHRISTINE M (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:M
Last Name:DE LA GARZA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7711 LOUIS PASTEUR
Mailing Address - Street 2:#200
Mailing Address - City:SANANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-692-9500
Mailing Address - Fax:210-616-9300
Practice Address - Street 1:7711 LOUIS PASTEUR
Practice Address - Street 2:#200
Practice Address - City:SANANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-692-9500
Practice Address - Fax:210-616-9300
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2010-07-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH6156207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX124474104Medicaid
TX85Y621Medicare UPIN
TX124474104Medicaid