Provider Demographics
NPI:1649344524
Name:GARZA, AMANDO FRANCISCO III (MD)
Entity type:Individual
Prefix:DR
First Name:AMANDO
Middle Name:FRANCISCO
Last Name:GARZA
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 E BUSTAMANTE ST STE A
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5305
Mailing Address - Country:US
Mailing Address - Phone:956-722-7872
Mailing Address - Fax:956-722-5813
Practice Address - Street 1:1519 E BUSTAMANTE ST STE A
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5305
Practice Address - Country:US
Practice Address - Phone:956-722-7872
Practice Address - Fax:956-722-5813
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2848208000000X
TXH48282080A0000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127171004Medicaid
TX127171001Medicaid