Provider Demographics
NPI:1295759264
Name:CHRISTY, ROSEMARY GARZA (MD)
Entity type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:GARZA
Last Name:CHRISTY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5527 WENONAH DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75209-5521
Mailing Address - Country:US
Mailing Address - Phone:214-350-1923
Mailing Address - Fax:214-350-5160
Practice Address - Street 1:1935 MEDICAL DISTRICT DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7701
Practice Address - Country:US
Practice Address - Phone:214-378-9898
Practice Address - Fax:214-350-5160
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6652207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX08942502Medicaid
TX08942502Medicaid
TX752067099OtherTAX ID NUMBER FOR CORP
TX00HS14Medicare ID - Type Unspecified