Healthcare Provider Details

I. General information

NPI: 1942096128
Provider Name (Legal Business Name): DAVID DE LEON GARZA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2025
Last Update Date: 07/13/2025
Certification Date: 07/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 4TH ST STOP 6211
LUBBOCK TX
79430-6211
US

IV. Provider business mailing address

3601 4TH ST STOP 6211
LUBBOCK TX
79430-6211
US

V. Phone/Fax

Practice location:
  • Phone: 806-743-3849
  • Fax: 806-743-5687
Mailing address:
  • Phone: 806-743-3849
  • Fax: 806-743-5687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: