Individual provider Active NPI

Eduardo Jesus Garza

  • Sports Medicine (Family Medicine) Physician
  • Laredo, TX
National Provider Identifier
1225471303
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
R2595 Issued in TX
Practice address
1515 Pappas St
Laredo, TX 78041-1705
Phone
(956) 795-8100
NPI assigned
Apr 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X R2595 TX Primary
Family Medicine Physician 207Q00000X MD60732119 WA
Family Medicine Physician 207Q00000X R2595 TX
Student in an Organized Health Care Education/Training Program 390200000X TX

Addresses

Primary practice location

1515 Pappas St
Laredo, TX 78041-1705

Mailing address

304 Belaire Dr
Laredo, TX 78041-2701
Phone (360) 227-9434

Other practice location 1

9849 Kenworthy St
El Paso, TX 79924-4402
Phone (915) 757-2581

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
I20170929000479 TX Practitioner - Family Practice 7113290362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1515 Pappas St
Laredo, TX 78041-1705
Phone (956) 795-8100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Community Health Center, Inc CurrentSince Jun 30, 2021 Accepting new patients
Concord Medical Group PLLC CurrentSince Jul 2, 2017 Accepting new patients
Gateway Community Health Center, Inc CurrentSince Jun 30, 2021 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jul 2, 2017 Accepting new patients
Gateway Community Health Center, Inc. Past Accepting new patients
Harrison Medical Center Past Accepting new patients

Locations

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

2007 S Zapata Hwy
Laredo, TX 78046
Phone (956) 523-3642

1515 Pappas St
Laredo, TX 78041
Phone (956) 523-3642

600 E Interstate 20
Stanton, TX 79782
Phone (432) 607-3200

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Organizations & group practices 6

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1225471303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 BELAIRE DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412701",
            "telephone_number": "360-227-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 PAPPAS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780411705",
            "telephone_number": "956-795-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9849 Kenworthy St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799244402",
            "country_code": "US",
            "telephone_number": "915-757-2581",
            "fax_number": "915-757-0720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZA",
        "first_name": "EDUARDO",
        "middle_name": "JESUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "R2595",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60732119",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R2595",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.