Provider Demographics
NPI:1386749679
Name:GARNER, CURTIS M (MD)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:M
Last Name:GARNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 717
Mailing Address - Street 2:
Mailing Address - City:WOODVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75979-0717
Mailing Address - Country:US
Mailing Address - Phone:409-283-3671
Mailing Address - Fax:
Practice Address - Street 1:1100 W BLUFF ST
Practice Address - Street 2:
Practice Address - City:WOODVILLE
Practice Address - State:TX
Practice Address - Zip Code:75979-4738
Practice Address - Country:US
Practice Address - Phone:409-283-8141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC7606207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX207P00000XOtherTAXONOMY
TX207P00000XOtherTAXONOMY
TXB22878Medicare UPIN