Provider Demographics
NPI:1780864835
Name:GARZA, GABRIEL RUDOLPH (MD)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:RUDOLPH
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 1:7509 ROARING SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78736-3321
Mailing Address - Country:US
Mailing Address - Phone:336-608-2785
Mailing Address - Fax:
Practice Address - Street 1:2400B W HIGHWAY 290 STE 5A
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-4558
Practice Address - Country:US
Practice Address - Phone:512-988-0140
Practice Address - Fax:512-503-1824
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP22432084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX304813401Medicaid
TX304813401Medicaid