MEDICARE: DR. SHANNA S GARZA MD

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	207Q00000X	Family Medicine Physician	M5178	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215152525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHANNA S GARZA MD

Provider Business Mailing Address
First Line	:	2835 GRAND AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75215-1647
Country	:	US
Telephone Number	:	214-421-1783
Fax Number	:	214-421-8224

Provider Business Practice Location Address
First Line	:	7300 ELDORADO PKWY STE 225
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-3590
Country	:	US
Telephone Number	:	972-893-3376
Fax Number	:

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

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	08/29/2024

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