MEDICARE: MR. ROBERT ISRAEL GARZA LMT

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	225700000X	Massage Therapist	MT000162	TX

General Provider Information

NPI Number	:	1053552349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT ISRAEL GARZA LMT

Provider Business Mailing Address
First Line	:	PO BOX 55602
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77255-5602
Country	:	US
Telephone Number	:	713-385-6084
Fax Number	:	832-487-8099

Provider Business Practice Location Address
First Line	:	7800 AMELIA RD # 2
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-1604
Country	:	US
Telephone Number	:	713-385-6084
Fax Number	:	832-487-8099

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

Provider Enumeration Date	:	03/16/2009
Last Update Date	:	03/16/2009

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Directions to “ MR. ROBERT ISRAEL GARZA LMT” Practice Location

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