Provider Demographics
NPI:1780691147
Name:GARZA, DEVIN M (MD)
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:M
Last Name:GARZA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12221 RENFERT, WAY SUITE 220
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758
Mailing Address - Country:US
Mailing Address - Phone:512-681-5040
Mailing Address - Fax:512-681-5039
Practice Address - Street 1:12221 RENFERT, WAY SUITE 220
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758
Practice Address - Country:US
Practice Address - Phone:512-681-5040
Practice Address - Fax:512-681-5039
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3313207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128443207Medicaid
TXF54661Medicare UPIN