Provider Demographics
NPI:1619994134
Name:GARZA, JULIO F (PA)
Entity type:Individual
Prefix:
First Name:JULIO
Middle Name:F
Last Name:GARZA
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 BAYOU VIEW DR
Mailing Address - Street 2:
Mailing Address - City:EL LAGO
Mailing Address - State:TX
Mailing Address - Zip Code:77586-6106
Mailing Address - Country:US
Mailing Address - Phone:281-455-2111
Mailing Address - Fax:
Practice Address - Street 1:3300 CENTER ST
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:TX
Practice Address - Zip Code:77536-5058
Practice Address - Country:US
Practice Address - Phone:855-925-4733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA02523363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant