MEDICARE: DR. JUAN L. 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	207R00000X	Internal Medicine Physician	J9876	TX
2	207RI0200X	Infectious Disease Physician	J9876	TX

General Provider Information

NPI Number	:	1821040429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUAN L. GARZA M.D.

Provider Business Mailing Address
First Line	:	2150 WEST 18TH STREET
Second Line	:	SUITE 300
City	:	HOUSTON
State	:	TX
Zip	:	77008-4417
Country	:	US
Telephone Number	:	713-426-0027
Fax Number	:

Provider Business Practice Location Address
First Line	:	2150 WEST 18TH STREET
Second Line	:	SUITE 300
City	:	HOUSTON
State	:	TX
Zip	:	77008-4417
Country	:	US
Telephone Number	:	713-426-0027
Fax Number	:	713-426-0211

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	02/05/2019

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