Provider Demographics
NPI:1225835820
Name:GARZA, MIGUEL JR
Entity type:Individual
Prefix:
First Name:MIGUEL
Middle Name:
Last Name:GARZA
Suffix:JR
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 BRYNHURST WAY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93304-3418
Mailing Address - Country:US
Mailing Address - Phone:661-380-8175
Mailing Address - Fax:661-380-8175
Practice Address - Street 1:402 BRYNHURST WAY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93304-3418
Practice Address - Country:US
Practice Address - Phone:661-380-8175
Practice Address - Fax:661-380-8175
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-01
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA8619654343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)