Individual
RODOLFO O GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
731 CARNOUSTIE DR, SUITE 102, SAN ANTONIO, TX 78258-4799
(210) 495-8280
(210) 481-3116
Mailing address
7142 SAN PEDRO AVE, SUITE 120, SAN ANTONIO, TX 78216-6256
(210) 661-5622
(210) 395-4012
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
K6460
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151844101
—
TX
01
—
390008174
MEDICARE RAILROAD
TX
Enumeration date
12/09/2005
Last updated
08/13/2015
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