Provider Demographics
NPI:1811770670
Name:GARZA, VICTOR JR (LAT)
Entity type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:
Last Name:GARZA
Suffix:JR
Gender:M
Credentials:LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13318 EVERHARD ST
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-1622
Mailing Address - Country:US
Mailing Address - Phone:956-533-6508
Mailing Address - Fax:
Practice Address - Street 1:8201 HIGH SCHOOL CIR,
Practice Address - Street 2:
Practice Address - City:LYFORD
Practice Address - State:TX
Practice Address - Zip Code:78569
Practice Address - Country:US
Practice Address - Phone:956-347-3909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT85212255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer