Michael Garza, ATC/L
Specialist in Lawton, OK. Individual provider (NPI-1).
NPI number1962899567
StatusActive
Last updated in NPPESApr 21, 2015
Details
- NPI
- 1962899567
- Entity type
- Individual (NPI-1)
- Name
- Michael Garza
- Credential
- ATC/L
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2015
- Last updated
- Apr 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 119 | OK | Yes |
Practice location
4400 E Gore BlvdLawton, OK 73501-6245
Phone 580-355-5230
Mailing address
4400 E Gore BlvdLawton, OK 73501-6245
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