Alexander D Garza, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · North Las Vegas, NV
NPI 1275949224 · NPPES record last updated Jul 23, 2024
Key facts
- NPI
- 1275949224
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 3051 (TX)
- Practice address
- 6900 N Pecos Rd
North Las Vegas, NV 89086-4400 - Phone
- (702) 791-9000
- NPI assigned
- Jul 9, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200806001254 | TX | Practitioner - Podiatry | 9830455872 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3051 | TX | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason C Miller DPM PA | Podiatrist | Current |
Accepting new patients |
| Advanced Foot Centre, PA | Podiatrist | Past | Accepting new patients |
Locations
350 Kingwood Medical Dr
Ste 150
Kingwood, TX 77339
Phone (281) 348-2166
25511 Budde Rd
Ste 3701
The Woodlands, TX 77380
Phone (281) 348-2166
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 3051 | TX | Yes |
Addresses
Primary practice location
6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Mailing address
3101 E Shea Blvd Ste 220
Phoenix, AZ 85028-3209
Phone (602) 993-2700
Other providers in North Las Vegas, NV
- Debra Garner
- Nick Edward Garness I
- Gina Garofalo
- Jesse O Garrett
- Keenan Garrett
- Brezhae Gasaway
- Elizabeth Gasca
- Latina Gaston
- Latonya Reashawn Gaston
- Mahogany R Gaston
All providers in North Las Vegas, NV · Foot & Ankle Surgery Podiatrist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.