MEDICARE: ANDREW JOSEPH GARZA PA-C

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	363AM0700X	Medical Physician Assistant	PA15713	TX

General Provider Information

NPI Number	:	1104561281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW JOSEPH GARZA PA-C

Provider Business Mailing Address
First Line	:	2713 BROOKSHIRE DR
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75007-4863
Country	:	US
Telephone Number	:	214-493-0234
Fax Number	:

Provider Business Practice Location Address
First Line	:	1018 N ZANG BLVD STE 110
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-4123
Country	:	US
Telephone Number	:	972-833-8091
Fax Number	:

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

Provider Enumeration Date	:	05/03/2022
Last Update Date	:	05/31/2022

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