MEDICARE: DR. JOSE LUIS GARZA JR. DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NX0100X	Occupational Health Chiropractor	DC7400	TX

General Provider Information

NPI Number	:	1013949825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE LUIS GARZA JR. DC

Provider Business Mailing Address
First Line	:	604 PENNY LANE
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546
Country	:	US
Telephone Number	:	281-482-3866
Fax Number	:	281-482-4203

Provider Business Practice Location Address
First Line	:	8225 GULF FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77017-4503
Country	:	US
Telephone Number	:	713-649-8808
Fax Number	:	713-649-8823

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	07/08/2007

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