Basic Information
Provider Information
NPI: 1962491175
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARZA, III
FirstName: HENRY
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1210 ARION PKWY
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782162880
CountryCode: US
TelephoneNumber: 2103499300
FaxNumber: 2103662558
Practice Location
Address1: 7940 FLOYD CURL DR STE 900
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782293906
CountryCode: US
TelephoneNumber: 2102267827
FaxNumber: 2104336329
Other Information
ProviderEnumerationDate: 10/19/2005
LastUpdateDate: 08/16/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/16/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XK2696TXY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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