1871693101 NPI number — MR. ARNOLD GARZA R. PH.

Table of content: MR. ARNOLD GARZA R. PH. (NPI 1871693101)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871693101 NPI number — MR. ARNOLD GARZA R. PH.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GARZA
Provider First Name:
ARNOLD
Provider Middle Name:
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
R. PH.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GARZA
Provider Other First Name:
ARNALDO
Provider Other Middle Name:
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
R. PH.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1871693101
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8755 AVATOR CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FAIR OAKS RANCH
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78015-4425
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
830-981-9112
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7400 MERTON MINTER ST
Provider Second Line Business Practice Location Address:
PHARMACY 119
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78229-4404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-617-5300
Provider Business Practice Location Address Fax Number:
210-949-3595
Provider Enumeration Date:
09/25/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  19607 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)