Mark Garza, M.D., PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

M9302 Issued in TX

Legal business name

MARK GARZA, M.D., PLLC

Practice address

7148 Trail Lake Dr
Fort Worth, TX 76123-1969

Phone

(817) 294-0934

Fax

(817) 294-1488

NPI assigned

Jun 22, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Mark Anthony Garza, MDNPI 1548436934

Title

Owner

Phone

(817) 294-0934

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6800/brand/5/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Anthony Garza, MD

  • Interventional Pain Medicine Physician
  • Fort Worth, TX
  • NPI 1548436934

  Sports Medicine

  Medicare reassignment NPD Authorized official
• Hayleyesus Paulos Gulilat, MSN, RN, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1316310170
  Medicare reassignment NPD

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154841963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7148 TRAIL LAKE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231969",
            "telephone_number": "817-294-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7148 TRAIL LAKE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231969",
            "telephone_number": "817-294-0934",
            "fax_number": "817-294-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK GARZA, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-294-0934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "M9302",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "M9302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Medical Transportation LLC
• Marine Creek Nursing and Rehabilitation LP
• Philip Vincent Marinelli, DO
• Karina Marino, LPC-A
• Nancy Maritim
• Mark Garza, M.D., PLLC
• Mark H Bussell MD Cpo PA
• Mark Kuper DO PA
• Mark Lindemann DO PA
• Rachel Holman Mark, MSN, RN, CPN,CPNP-PC

• Interventional Pain Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.