MEDICARE: RICARDO A GARZA MD PLLC

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	207RC0000X	Cardiovascular Disease Physician	G8125	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	405098	OTHER	TX	PTAN

General Provider Information

NPI Number	:	1215329602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICARDO A GARZA MD PLLC

Provider Business Mailing Address
First Line	:	6800 W IH 10
Second Line	:	SUITE 110
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-2038
Country	:	US
Telephone Number	:	210-614-6391
Fax Number	:	210-616-3327

Provider Business Practice Location Address
First Line	:	6800 W IH 10 WEST
Second Line	:	SUITE 110
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-2039
Country	:	US
Telephone Number	:	210-614-6391
Fax Number	:	210-616-3327

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RICARDO A GARZA
Credential	:	M.D.
Telephone Number	:	210-614-6391

Provider Enumeration Date	:	02/23/2015
Last Update Date	:	05/26/2015

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