MEDICARE: MARTHA M GARZA M.D.P.A.

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	207VE0102X	Reproductive Endocrinology Physician	G3384	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	:	1730237496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA M GARZA M.D.P.A.

Provider Business Mailing Address
First Line	:	4499 MEDICAL DR STE 151
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3714
Country	:	US
Telephone Number	:	210-614-3352
Fax Number	:	210-614-0945

Provider Business Practice Location Address
First Line	:	4499 MEDICAL DR STE 151
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3714
Country	:	US
Telephone Number	:	210-614-3352
Fax Number	:	210-614-0945

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

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	10/18/2010

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