Individual
DR. MARTIN GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L0194
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092466405
—
TX
05
—
159406101
—
TX
05
—
159406102
—
TX
01
—
8K0400
BLUECROSS PROVIDER ID
TX
Enumeration date
05/12/2006
Last updated
04/21/2017
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