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Mark Garza, M.D., PLLC

Pain Medicine, Interventional Pain Medicine in Fort Worth, TX. Organization (NPI-2).

NPI number1154841963
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1154841963
Entity type
Organization (NPI-2)
Legal business name
Mark Garza, M.D., PLLC
Organization subpart
No
Enumeration date
Jun 22, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0014X Pain Medicine, Interventional Pain MedicineM9302TXYes
207QS0010X Family Medicine, Sports MedicineM9302TX

Practice location

7148 Trail Lake Dr
Fort Worth, TX 76123-1969

Phone 817-294-0934 · Fax 817-294-1488

Mailing address

7148 Trail Lake Dr
Fort Worth, TX 76123-1969

Phone 817-294-0934

Authorized official

Mark Anthony Garza
Owner
8172940934

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