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JUAN CARLOS GARZA MD PA NPI 1639419153


NPI Information

NPI: 1639419153
Provider Name: JUAN CARLOS GARZA MD PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D1043063

Address:
4318 MOONLIGHT WAY
SAN ANTONIO, TX
ZIP 78230
Phone: (210) 558-8878
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JUAN CARLOS GARZA MD PA 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. JUAN CARLOS GARZA MD PA NPI is 1639419153. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4318 MOONLIGHT WAY
SAN ANTONIO, TX
ZIP 78230-000
Phone: (210) 558-8878
Fax: (210) 558-9389

The provider's authorized official is Juan Carlos Garza .
The authorized official title is President and has the following contact phone number (210) 558-8878.

The CLIA number assigned to this NPI record is 45D1043063 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/20/2013 and was last updated on 2/20/2013.


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 MedicineL6390TEXASYes

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
18D5032OTHERTEXASMEDICARE ID

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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