MEDICARE: ELIZABETH 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	390200000X	Student in an Organized Health Care Education/Training Program	BP10068797	TX
2	207Q00000X	Family Medicine Physician	T0787	TX

General Provider Information

NPI Number	:	1538729652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH GARZA MD

Provider Business Mailing Address
First Line	:	800 W CENTRAL TEXAS EXPY STE 125
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-1996
Country	:	US
Telephone Number	:	254-618-1151
Fax Number	:	254-618-1158

Provider Business Practice Location Address
First Line	:	800 W CENTRAL TEXAS EXPY STE 125
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-1996
Country	:	US
Telephone Number	:	254-618-1151
Fax Number	:	254-618-1158

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

Provider Enumeration Date	:	06/20/2019
Last Update Date	:	09/09/2022

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