Provider Demographics
NPI:1588753917
Name:GARZA, ALISON S (MD)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:S
Last Name:GARZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2046 S. MCCOLL
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-0228
Mailing Address - Country:US
Mailing Address - Phone:956-393-2200
Mailing Address - Fax:956-393-2201
Practice Address - Street 1:2046 S. MCCOLL
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-7339
Practice Address - Country:US
Practice Address - Phone:956-393-2200
Practice Address - Fax:956-393-2201
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH8062207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX097061803Medicaid
TX8D1159OtherUNSPECIFIED
TX097061803Medicaid