Organization Active NPI

Jaime R. Garza, M.D., D.D.S., P.a.

  • Specialist
  • San Antonio, TX
National Provider Identifier
1689678575
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H4926 Issued in TX
Legal business name
JAIME R. GARZA, M.D., D.D.S., P.A.
Practice address
21 Spurs LN
Ste 120
San Antonio, TX 78240-1634
Phone
(210) 616-0301
Fax
(210) 616-0302
NPI assigned
Jun 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jaime R Garza, M.D., D.D.S.
Title
President
Phone
(210) 616-0301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X H4926 TX Primary

Addresses

Primary practice location

21 Spurs LN
Ste 120
San Antonio, TX 78240-1634

Mailing address

21 Spurs Lane
Ste 120
San Antonio, TX 78240
Phone (210) 616-0301

Other names 1

  • Texas Plastic Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

2829 Babcock Rd
Ste 615
San Antonio, TX 78229
Phone (210) 616-0301

21 Spurs Ln
Ste 120
San Antonio, TX 78240
Phone (210) 616-0301

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689678575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SPURS LANE",
            "address_2": "STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78240",
            "telephone_number": "210-616-0301",
            "fax_number": "210-616-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SPURS LN",
            "address_2": "STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401634",
            "telephone_number": "210-616-0301",
            "fax_number": "210-616-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME R. GARZA, M.D., D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-616-0301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., D.D.S."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H4926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.