Individual provider Active NPI

Julio F Garza, PA

  • Physician Assistant
  • Deer Park, TX
National Provider Identifier
1619994134
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02523 Issued in TX
Practice address
3300 Center St
Deer Park, TX 77536-5058
Phone
(855) 925-4733
NPI assigned
Jul 17, 2006
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181231001512 TX Practitioner - Physician Assistant 4789929365 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA02523TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Health & Wellness CurrentSince Oct 15, 2020 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.

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

Verify at the official NPI Registry.