Active NPI
Julio F Garza, PA
- Physician Assistant
- Deer Park, TX
National Provider Identifier
1619994134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA02523
- Practice address
- 3300 Center St
Deer Park, TX 77536-5058 - Phone
- (855) 925-4733
- NPI assigned
- Jul 17, 2006
- Last updated
- Aug 22, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA02523 | TX | Primary |
Addresses
Primary practice location
3300 Center St
Deer Park, TX 77536-5058
Mailing address
406 Bayou View Dr
El Lago, TX 77586-6106
Phone (281) 455-2111
Other practice location 1
561 Medical Center Boulevard
Suite G
Webster, TX 77598
Phone (281) 332-2348
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA02523 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Health & Wellness | Current | Accepting new patients |
Locations
9850 Emmett F Lowry Expy
Ste C103
Texas City, TX 77591
Phone (409) 938-2234
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.
-
- Federally Qualified Health Center (FQHC)
- Galveston, TX
- NPI 1871766584
-
- Federally Qualified Health Center (FQHC)
- Texas City, TX
- NPI 1619667565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1619994134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 BAYOU VIEW DR",
"city": "EL LAGO",
"state": "TX",
"postal_code": "775866106",
"telephone_number": "281-455-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 CENTER ST",
"city": "DEER PARK",
"state": "TX",
"postal_code": "775365058",
"telephone_number": "855-925-4733"
}
],
"practiceLocations": [
{
"address_1": "561 Medical Center Boulevard",
"address_2": "Suite G",
"address_purpose": "LOCATION",
"city": "Webster",
"state": "TX",
"postal_code": "77598",
"country_code": "US",
"telephone_number": "281-332-2348",
"fax_number": "281-338-2696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARZA",
"first_name": "JULIO",
"middle_name": "F",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deer Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.