Healthcare Provider Details

I. General information

NPI: 1326142639
Provider Name (Legal Business Name): LUIS GARZA-ARREOLA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 02/04/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 N MESA ST STE 101
EL PASO TX
79902-1121
US

IV. Provider business mailing address

7814 GATEWAY BLVD E
EL PASO TX
79915-1815
US

V. Phone/Fax

Practice location:
  • Phone: 915-542-2352
  • Fax: 915-593-8559
Mailing address:
  • Phone: 915-542-2352
  • Fax: 915-593-8559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberK4063
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberK4063
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License NumberK4063
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberK4063
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberK4063
License Number StateTX
# 6
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberK4063
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: