Individual provider Active NPI

Mark Anthony Garza, MD

  • Interventional Pain Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1548436934
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
M9302 Issued in TX
Practice address
7148 Trail Lake Dr
Fort Worth, TX 76123-1969
Phone
(817) 294-0934
NPI assigned
May 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X M9302 TX
Interventional Pain Medicine Physician 208VP0014X M9302 TX Primary

Addresses

Primary practice location

7148 Trail Lake Dr
Fort Worth, TX 76123-1969

Mailing address

7148 Trail Lake Dr
Fort Worth, TX 76123-1969
Phone (817) 294-0934

Other practice location 1

209 Saint Louis Ave Ste 100
Fort Worth, TX 76104-1279
Phone (817) 294-0934

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
I20101004000836 TX Practitioner - Interventional Pain ManagementPractitioner - Family PracticePractitioner - Sports Medicine 3678765062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Family Practice, Sports Medicine
Education
University of Texas Medical Branch at Galveston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7148 Trail Lake Dr
Fort Worth, TX 76123-1969
Phone (817) 294-0934

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M9302TXMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Garza, M.D., PLLC Sports Medicine CurrentSince Jun 1, 2017 Accepting new patients
Mark Garza, M.D., PLLC Sports Medicine CurrentSince Oct 15, 2017 Accepting new patients
Steven Simmons DO PLLC Past Accepting new patients

Locations

131 S Westmeadow Dr
Ste 300
Cleburne, TX 76033
Phone (817) 558-4611

209 Saint Louis Ave
Ste 100
Fort Worth, TX 76104
Phone (817) 294-0394

7148 Trail Lake Dr
Ft Worth, TX 76123

Interoperability endpoints

  • Direct secure messaging: mark.garza.2@6800.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6800/brand/5/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1548436934",
    "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Saint Louis Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761041279",
            "country_code": "US",
            "telephone_number": "817-294-0934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZA",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-05",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "M9302",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "M9302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.