Organization
O.T. GARZA, M.D, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISOL GARCIA (ASSISTANT MANAGER)
(432) 366-8753
Entity
Organization
Contact information
Practice address
4220 WENDOVER AVE, STE B, ODESSA, TX 79762-5925
(432) 366-8753
Mailing address
4220 WENDOVER AVE, STE B, ODESSA, TX 79762-5925
(432) 366-8753
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
D9451
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115879202
—
TX
Enumeration date
12/29/2009
Last updated
03/01/2010
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