Organization Active NPI

Enrique S. Garza, M.D., P.a.

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1861761389
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E5375 Issued in TX
Legal business name
ENRIQUE S. GARZA, M.D., P.A.
Practice address
730 N Main Ave
Ste 615
San Antonio, TX 78205-1152
Phone
(210) 212-9597
Fax
(210) 212-9179
NPI assigned
Dec 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Dr. Enrique S Garza, M.D.
Title
President
Phone
(210) 212-9597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X E5375 TX Primary

Addresses

Primary practice location

730 N Main Ave
Ste 615
San Antonio, TX 78205-1152

Mailing address

730 N Main Ave
Ste 615
San Antonio, TX 78205-1152
Phone (210) 212-9597

Other identifiers 1

IdentifierTypeStateIssuer
137647701MedicaidTX

National Provider Directory

National Provider Directory

Locations

730 N Main Ave
Ste 615
San Antonio, TX 78205
Phone (210) 212-9597

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1861761389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N MAIN AVE",
            "address_2": "STE 615",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051152",
            "telephone_number": "210-212-9597",
            "fax_number": "210-212-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N MAIN AVE",
            "address_2": "STE 615",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051152",
            "telephone_number": "210-212-9597",
            "fax_number": "210-212-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRIQUE S. GARZA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-212-9597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "E5375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137647701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 29, 2011; 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.