Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | G5082 | TX |
NPI | 1134276512 |
---|---|
Provider Name | David E Garza |
First Address | San Antonio, TX 78258-3917 |
Second Address | San Antonio, TX 78258-3917 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2007 |
Last Update Date | 08/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
126422803 | (05) | TX |
E06980 | (02) | TX |