Individual provider Active NPI

Margarita De la Garza-Grahm, MD

  • Surgery Physician
  • Tyler, TX
National Provider Identifier
1083686877
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
J1225 Issued in TX
Practice address
1020 E Lake St
Tyler, TX 75701-2033
Phone
(903) 593-5500
Fax
(903) 593-5408
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X J1225 TX Primary

Addresses

Primary practice location

1020 E Lake St
Tyler, TX 75701-2033

Mailing address

1020 E Lake St
Tyler, TX 75701-2033
Phone (903) 593-5500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120220001093 TX Practitioner - General Surgery 3072771237 Practice locations: Tyler, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: mdelagarzagrahm355876@ahs.direct-ci.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083686877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E LAKE ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012033",
            "telephone_number": "903-593-5500",
            "fax_number": "903-593-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E LAKE ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012033",
            "telephone_number": "903-593-5500",
            "fax_number": "903-593-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA GARZA-GRAHM",
        "first_name": "MARGARITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J1225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.