=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609831353
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HOMERO REMEDIOS GARZA M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/18/2006
-----------------------------------------------------
Last Update Date | 05/07/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7950 FLOYD CURL DR STE 700
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78229-3926
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-692-0707
-----------------------------------------------------
Fax | 210-615-0339
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7950 FLOYD CURL DR STE 700
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78229-3926
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-692-0707
-----------------------------------------------------
Fax | 210-615-0339
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RG0100X
-----------------------------------------------------
Taxonomy Name | Gastroenterology Physician
-----------------------------------------------------
License Number | F0470
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------