MEDICARE: DR. ALISON S GARZA MD

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	207QG0300X	Geriatric Medicine (Family Medicine) Physician	H8062	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8D1159	OTHER	TX	UNSPECIFIED

General Provider Information

NPI Number	:	1588753917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALISON S GARZA MD

Provider Business Mailing Address
First Line	:	2046 S. MCCOLL
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-0228
Country	:	US
Telephone Number	:	956-393-2200
Fax Number	:	956-393-2201

Provider Business Practice Location Address
First Line	:	2046 S. MCCOLL
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-7339
Country	:	US
Telephone Number	:	956-393-2200
Fax Number	:	956-393-2201

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	03/16/2015

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