Provider Demographics
NPI:1477175800
Name:GARZA, JOSEPH ALONZO (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ALONZO
Last Name:GARZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 E FERN AVE STE B3
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1467
Mailing Address - Country:US
Mailing Address - Phone:956-607-8187
Mailing Address - Fax:
Practice Address - Street 1:1301 E FERN AVE STE B3
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-1467
Practice Address - Country:US
Practice Address - Phone:956-971-9548
Practice Address - Fax:956-686-0928
Is Sole Proprietor?:No
Enumeration Date:2020-05-07
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXU6239207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program