MEDICARE: DR. EDUARDO G GARZA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	A71612	CA

General Provider Information

NPI Number	:	1053371690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDUARDO G GARZA M.D.

Provider Business Mailing Address
First Line	:	72780 COUNTRY CLUB DR STE A103
Second Line	:
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-4150
Country	:	US
Telephone Number	:	760-779-5511
Fax Number	:	760-773-3320

Provider Business Practice Location Address
First Line	:	72780 COUNTRY CLUB DR STE A103
Second Line	:
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-4150
Country	:	US
Telephone Number	:	760-779-5511
Fax Number	:	760-773-3320

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	03/13/2018

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