Individual provider Active NPI

Magdalene D. Garza, MD

  • Geriatric Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1215118500
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
N2084 Issued in TX
Practice address
311 Camden St Ste 510
San Antonio, TX 78215
Phone
(210) 591-1615
Fax
(210) 591-1635
NPI assigned
Nov 15, 2007
Last updated
Jul 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X N2084 TX Primary
Psychiatry Physician 2084P0800X N2084 TX

Addresses

Primary practice location

311 Camden St Ste 510
San Antonio, TX 78215

Mailing address

311 Camden St Ste 510
San Antonio, TX 78215-2015
Phone (210) 591-1615

Other practice location 1

3950 N A W Grimes Blvd
Building 2
Round Rock, TX 78665-3540
Phone (877) 800-5722

Other practice location 2

8026 Floyd Curl Dr
San Antonio, TX 78229-3915
Phone (210) 575-8490

Other identifiers 1

IdentifierTypeStateIssuer
204151903MedicaidTX

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
I20090811000719 TX Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 0840344735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
University of Texas Medical Branch at Galveston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6711 S New Braunfels Ave
Suite 500
San Antonio, TX 78223-3004
Phone (210) 531-3743

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission Psychiatry CurrentSince Oct 1, 2020 Accepting new patients
Health and Human Services Commission Psychiatry Current Accepting new patients

Locations

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

6711 S New Braunfels Ave
Ste 500
San Antonio, TX 78223
Phone (210) 531-3743

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1215118500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CAMDEN ST STE 510",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152015",
            "telephone_number": "210-591-1615",
            "fax_number": "210-591-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CAMDEN ST STE 510",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78215",
            "telephone_number": "210-591-1615",
            "fax_number": "210-591-1635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 N A W Grimes Blvd",
            "address_2": "Building 2",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786653540",
            "country_code": "US",
            "telephone_number": "877-800-5722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8026 Floyd Curl Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293915",
            "country_code": "US",
            "telephone_number": "210-575-8490",
            "fax_number": "210-575-8127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZA",
        "first_name": "MAGDALENE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TX",
            "license": "N2084",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N2084",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204151903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.