Individual
RENE GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1250 S WASHINGTON ST, VAN WERT, OH 45891-2551
(419) 238-8659
Mailing address
22519 LYNRIDGE DR, SAN ANTONIO, TX 78258-7747
(210) 497-2224
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34.007750
OH
207P00000X
Emergency Medicine Physician
Primary
M2327
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176359101
—
TX
05
—
176359103
—
TX
05
—
176359105
—
TX
05
—
176359107
—
TX
05
—
2348383
—
OH
01
—
8EG480
BCBSTX
TX
01
—
8EX761
BCBSTX
TX
01
—
8F5087
BCBS
TX
01
—
8U9779
BCBS
TX
01
—
8W1163
BCBS
TX
01
—
8X7672
BCBS
TX
Enumeration date
08/31/2005
Last updated
09/22/2015
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