Enrique Sergio Garza-Trevino, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

E5375 Issued in TX

Practice address

415 W Ashby PL
San Antonio, TX 78212-3804

Phone

(210) 996-4331

Fax

(210) 785-0814

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Medvon Medical Clinic Professional Corporation

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1407513443
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1962585588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W ASHBY PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123804",
            "telephone_number": "210-996-4331",
            "fax_number": "210-785-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W ASHBY PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123804",
            "telephone_number": "210-996-4331",
            "fax_number": "210-785-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA-TREVINO",
        "first_name": "ENRIQUE",
        "middle_name": "SERGIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "E5375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Rochelle Garza Strunk, RDH
• San Juanita Garza-Cox, MD
• Adrianna Judith Garza-Gongora, LBSW, LPC
• Rosalind Garza-Harris, LCSW
• Raquel Garza-Martinez, LMSW
• Jo Anna Garza-Trevino
• Arnulfo R Garza-Vale, M.D.
• Monica Nicole Garza-Vickery, L.M., NARM C.P.M.
• Aaron Garza, M.S. CF-SLP
• Abigayle Genesis Garza

• Psychiatry Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.