Healthcare Provider Details

I. General information

NPI: 1649344524
Provider Name (Legal Business Name): AMANDO FRANCISCO GARZA III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1519 E BUSTAMANTE ST STE A
LAREDO TX
78041-5305
US

IV. Provider business mailing address

1519 E BUSTAMANTE ST STE A
LAREDO TX
78041-5305
US

V. Phone/Fax

Practice location:
  • Phone: 956-722-7872
  • Fax: 956-722-5813
Mailing address:
  • Phone: 956-722-7872
  • Fax: 956-722-5813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberH2848
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberH4828
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberH4828
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: