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GARZA MEDICAL GROUP @ SOUTH ALAMO NPI 1396231320


NPI Information

NPI: 1396231320
Provider Name: GARZA MEDICAL GROUP @ SOUTH ALAMO

Doing Business As: GARZA MEDICAL GROUP -SOUTH ALAMO

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2156845

Address:
5414 FREDERICKSBURG RD STE 265
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 256-1539
Get Directions

GARZA MEDICAL GROUP @ SOUTH ALAMO is a family medicine in San Antonio, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GARZA MEDICAL GROUP @ SOUTH ALAMO NPI is 1396231320. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Garza Medical Group -south Alamo.

The provider's business location address is:

5414 FREDERICKSBURG RD STE 265
SAN ANTONIO, TX
ZIP 78229-641
Phone: (210) 256-1539
Fax: (210) 549-0039

The provider's authorized official is Nelson Bocanegra .
The authorized official title is Practice Manager and has the following contact phone number (210) 256-1539.

The CLIA number assigned to this NPI record is 45D2156845 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2018 and was last updated on 9/25/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11396231320OTHERTEXASPPO, HMO AND MARKET PLACE
21396231320MEDICAIDTEXAS
31972500684OTHERTEXASPPO, HMO AND MARKET-PLACE
41972500684MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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