| Juan Carlos Garza Md Pa | |
|
4318 Moonlight Way San Antonio TX 78230-5000 | |
| (210) 558-8878 | |
| (210) 558-9389 |
| Full Name | Juan Carlos Garza Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4318 Moonlight Way, San Antonio, Texas |
| Authorized Official Name and Position | Juan Carlos Garza (PRESIDENT) |
| Authorized Official Contact | 2105588878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juan Carlos Garza Md Pa 4318 Moonlight Way San Antonio TX 78230-5000 Ph: (210) 558-8878 | Juan Carlos Garza Md Pa 4318 Moonlight Way San Antonio TX 78230-5000 Ph: (210) 558-8878 |
| NPI Number | 1639419153 |
|---|---|
| Provider Enumeration Date | 02/20/2013 |
| Last Update Date | 02/20/2013 |
| Medicare PECOS PAC ID | 5991932162 |
|---|---|
| Medicare Enrollment ID | O20131213000628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639419153 | NPI | - | NPPES |
| 8D5032 | Other | TX | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L6390 (Texas) | Primary |
| Provider Name | Juan C Garza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669449971 PECOS PAC ID: 0244143121 Enrollment ID: I20031106000740 |
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