Individual provider Active NPI

Andrew Joseph Garza, PA-C

  • Medical Physician Assistant
  • Dallas, TX
National Provider Identifier
1104561281
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA15713 Issued in TX
Practice address
1018 N Zang Blvd Ste 110
Dallas, TX 75208-4123
Phone
(972) 833-8091
NPI assigned
May 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA15713 TX Primary

Addresses

Primary practice location

1018 N Zang Blvd Ste 110
Dallas, TX 75208-4123

Mailing address

2713 Brookshire Dr
Carrollton, TX 75007-4863
Phone (214) 493-0234

Other practice location 1

2304 Bardin Rd Ste 102
Grand Prairie, TX 75052-3850
Phone (972) 833-8096

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220622002940 TX Practitioner - Physician Assistant 1355720384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thyroid, Endocrinology and Diabetes, PAGroup PAC ID 6406908094, 6 clinicians

Practice addresses (Care Compare)

1018 N Zang Blvd
Suite 110
Dallas, TX 75208-4123
Phone (972) 266-8765

2304 Bardin Rd
Grand Prairie, TX 75052-3850
Phone (972) 266-8765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA15713TXMDMedical Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1104561281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 BROOKSHIRE DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750074863",
            "telephone_number": "214-493-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 N ZANG BLVD STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084123",
            "telephone_number": "972-833-8091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2304 Bardin Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750523850",
            "country_code": "US",
            "telephone_number": "972-833-8096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZA",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA15713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.