Healthcare Provider Details

I. General information

NPI: 1508525866
Provider Name (Legal Business Name): MATTHEW LUIS GARZA DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2021
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2408 VANDERBILT AVE
MCALLEN TX
78504-1429
US

IV. Provider business mailing address

2408 VANDERBILT AVE
MCALLEN TX
78504-1429
US

V. Phone/Fax

Practice location:
  • Phone: 956-954-2046
  • Fax:
Mailing address:
  • Phone: 956-954-2046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2121216
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1355358
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: