MEDICARE: RENE GARZA DO

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	207P00000X	Emergency Medicine Physician	34.007750	OH
2	207P00000X	Emergency Medicine Physician	M2327	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
2	8X7672	OTHER	TX	BCBS
3	8F5087	OTHER	TX	BCBS
4	8U9779	OTHER	TX	BCBS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	8W1163	OTHER	TX	BCBS
9	8EG480	OTHER	TX	BCBSTX
10	8EX761	OTHER	TX	BCBSTX
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982698395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENE GARZA DO

Provider Business Mailing Address
First Line	:	22519 LYNRIDGE DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-7747
Country	:	US
Telephone Number	:	210-497-2224
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 S WASHINGTON ST
Second Line	:
City	:	VAN WERT
State	:	OH
Zip	:	45891-2551
Country	:	US
Telephone Number	:	419-238-8659
Fax Number	:

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

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	09/22/2015

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Directions to “ RENE GARZA DO” Practice Location

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