Healthcare Provider Details

I. General information

NPI: 1780900308
Provider Name (Legal Business Name): REBECCA MARGUERITE GARZA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2010
Last Update Date: 12/30/2024
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 US HIGHWAY 41 STE 103
SCHERERVILLE IN
46375-4204
US

IV. Provider business mailing address

322 US HIGHWAY 41 STE 103
SCHERERVILLE IN
46375-4204
US

V. Phone/Fax

Practice location:
  • Phone: 219-322-3131
  • Fax: 219-322-9494
Mailing address:
  • Phone: 219-322-3131
  • Fax: 219-322-9494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number036140040
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number01086732A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: