O.T. Garza, M.D, P.A.

LBN: O.T. Garza, M.D, P.A.
O.T. Garza, M.D, P.A. is an health care organization with primary practice located at 4220 Wendover Ave Ste B, Odessa TX 79762-5925. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. O.T. Garza, M.D, P.A. can be contacted via phone (432) 366-8753, or through Garcia, Marisol via phone (432) 366-8753.

Contact Information

Primary practice address
4220 Wendover Ave Ste B Odessa TX 79762-5925
Fax:
Website:
Authorized official contact:
Name: Garcia, Marisol

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X D9451 Texas

Profile Details

NPI number 1134459050
LBN Legal business name O.T. Garza, M.D, P.A.
DBA Doing business as
Authorized official Garcia, Marisol
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2009
Last updated Mar 1st, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134459050 NPPES
Texas MEDICAID 115879202

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