Active NPI
Marcel Andre Garza, PHYSICIAN ASSISTANT
- Physician Assistant
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA03115
- Practice address
- 1010 W 40TH St
Austin, TX 78756-4010 - Phone
- (512) 459-8753
- Fax
- (512) 483-6807
- NPI assigned
- Jun 13, 2007
- 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 | PA03115 | TX | Primary |
Addresses
Primary practice location
1010 W 40TH St
Austin, TX 78756-4010
Mailing address
1010 W 40TH St
Austin, TX 78756-4010
Phone (512) 459-8753
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA03115 | Other | TX | MEDICAL LICENSE |
| 8Y1982 | Other | TX | BCBS ID |
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
135 Bunton Creek Rd
Suite 100
Kyle, TX 78640-5701
Phone (512) 268-2068
5033 W Hwy 290
Carenow
Austin, TX 78735-6751
Phone (512) 265-8980
517 S Lamar Blvd
Suite B
Austin, TX 78704-1549
Phone (512) 861-8055
717 Hwy 71 W
Suite 500
Bastrop, TX 78602-4148
Phone (521) 332-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA03115 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| Citimed, P.a. | Past | Accepting new patients |
Locations
6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627
1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330
1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Austin, TX
- NPI 1851844104
-
dba The Kingsley Clinic PLLC
- Internal Medicine Physician
- Dallas, TX
- NPI 1770143315
-
dba Baylor Scott & White Urgent Care Plus
- Urgent Care Clinic/Center
- Abilene, TX
- NPI 1760875025
-
dba Baylor Scott & White Urgent Care Plus
- Urgent Care Clinic/Center
- Georgetown, TX
- NPI 1922289412
-
dba Baylor Scott & White Urgent Care Plus
- Urgent Care Clinic/Center
- Austin, TX
- NPI 1154472967
-
- Family Medicine Physician
- Arlington, TX
- NPI 1487823316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1699979567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 W 40TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787564010",
"telephone_number": "512-459-8753",
"fax_number": "512-483-6807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 W 40TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787564010",
"telephone_number": "512-459-8753",
"fax_number": "512-483-6807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARZA",
"first_name": "MARCEL",
"middle_name": "ANDRE",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA03115",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "PA03115",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID",
"identifier": "8Y1982",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.