Organization
MARK GARZA, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ANTHONY GARZA MD (OWNER)
(817) 294-0934
Entity
Organization
Contact information
Practice address
7148 TRAIL LAKE DR, FORT WORTH, TX 76123-1969
(817) 294-0934
(817) 294-1488
Mailing address
7148 TRAIL LAKE DR, FORT WORTH, TX 76123-1969
(817) 294-0934
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
M9302
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
M9302
TX
Other
Enumeration date
06/22/2017
Last updated
07/21/2022
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