Active NPI
Enrique S. Garza, M.D., P.a.
- Psychiatry Physician
- San Antonio, TX
National Provider Identifier
1861761389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- E5375
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137647701 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.