Jason Ashely Garza, LPTA
Individual provider Active NPI Community Health Worker · Wharton, TX
NPI 1629359583 · NPPES record last updated Sep 6, 2011
Key facts
- NPI
- 1629359583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- 2080310 (TX)
- Practice address
- 2317 Walnut St
Wharton, TX 77488-2546 - Phone
- (979) 533-2522
- NPI assigned
- Sep 6, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2080310 | TX | MD | Community Health Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 2080310 | TX | Yes |
Addresses
Primary practice location
2317 Walnut St
Wharton, TX 77488-2546
Mailing address
2317 Walnut St
Wharton, TX 77488-2546
Phone (979) 533-2522
Other providers in Wharton, TX
- FMSC Wharton Operating Company LP
- Fort Bend Family Health Center, Inc
- James A Frazier
- Claire Leslie Friedman
- Christian Galvin
- Nadia Marie Garza
- GCMC of Wharton County Texas, LLC
- GCMC of Wharton County Texas, LLC
- Amanda Gebara
- Monica Ann Gerges
All providers in Wharton, TX · Community Health Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.