MEDICARE: JORGE ALBERTO 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	208000000X	Pediatrics Physician	H5444	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

General Provider Information

NPI Number	:	1639173982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORGE ALBERTO GARZA M.D.

Provider Business Mailing Address
First Line	:	8019 S NEW BRAUNFELS STE 105
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78235-1069
Country	:	US
Telephone Number	:	210-304-8282
Fax Number	:	210-304-8283

Provider Business Practice Location Address
First Line	:	8019 S NEW BRAUNFELS STE 105
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78235-1069
Country	:	US
Telephone Number	:	210-304-8282
Fax Number	:	210-224-8801

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	11/05/2024

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