Active NPI
Pablo Garza, M.D.
- Family Medicine Physician
- Victoria, TX
National Provider Identifier
1013900497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E6365
- Practice address
- 2806 N Navarro St
Suite D
Victoria, TX 77901-3905 - Phone
- (361) 576-2108
- Fax
- (361) 576-2277
- NPI assigned
- Aug 31, 2005
- Last updated
- Jul 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E6365 | TX | Primary |
| Dermatology Physician | 207N00000X | E6365 | TX | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | E6365 | TX | |
| Gynecology Physician | 207VG0400X | E6365 | TX | |
| Obstetrics Physician | 207VX0000X | E6365 | TX | |
| Pediatrics Physician | 208000000X | E6365 | TX |
Addresses
Primary practice location
2806 N Navarro St
Suite D
Victoria, TX 77901-3905
Mailing address
PO Box 2644
Victoria, TX 77902-2644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041227000342 | TX | Practitioner - Family Practice | 3577521335 | Practice locations: Victoria, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E6365 | TX | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1013900497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2644",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779022644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2806 N NAVARRO ST",
"address_2": "SUITE D",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779013905",
"telephone_number": "361-576-2108",
"fax_number": "361-576-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARZA",
"first_name": "PABLO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "E6365",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "E6365",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "TX",
"license": "E6365",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TX",
"license": "E6365",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "TX",
"license": "E6365",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "E6365",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.