Individual provider Active NPI

Jose A Garza Jr.

  • Surgical Technologist
  • Dallas, TX
National Provider Identifier
1841310513
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
510922 Issued in TX
Practice address
10400 N Central Expy
Dallas, TX 75231-2297
Phone
(469) 733-6751
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 510922 TX Primary

Addresses

Primary practice location

10400 N Central Expy
Dallas, TX 75231-2297

Mailing address

1005 La Fontana
Grand Prairie, TX 75052-5456
Phone (469) 733-6751

Other practice location 1

2120 N MacArthur Blvd
100
Irving, TX 75061-2225
Phone (972) 438-4636 ext. 1128

Other identifiers 1

IdentifierTypeStateIssuer
510922OtherTXCERTIFIED SURGICAL TECH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
510922TXMDSurgical Technologist

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1841310513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 LA FONTANA",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525456",
            "telephone_number": "469-733-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312297",
            "telephone_number": "469-733-6751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 N MacArthur Blvd",
            "address_2": "100",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750612225",
            "country_code": "US",
            "telephone_number": "972-438-4636 x1128",
            "fax_number": "214-260-0953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZA",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "510922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED SURGICAL TECH",
            "identifier": "510922",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.