Healthcare Provider Details

I. General information

NPI: 1245489731
Provider Name (Legal Business Name): OSCAR GARZA M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2008
Last Update Date: 09/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 MEDICAL DR
PEARSALL TX
78061-6604
US

IV. Provider business mailing address

151 MEDICAL DR
PEARSALL TX
78061-6604
US

V. Phone/Fax

Practice location:
  • Phone: 830-334-4142
  • Fax: 830-334-8470
Mailing address:
  • Phone: 830-334-4142
  • Fax: 830-334-8470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberH0994
License Number StateTX

VIII. Authorized Official

Name: DR. OSCAR GARZA
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 830-334-4142