Provider Demographics
NPI:1053371690
Name:GARZA, EDUARDO G (MD)
Entity type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:G
Last Name:GARZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:72780 COUNTRY CLUB DR STE A103
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-4150
Mailing Address - Country:US
Mailing Address - Phone:760-779-5511
Mailing Address - Fax:760-773-3320
Practice Address - Street 1:72780 COUNTRY CLUB DR STE A103
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-4150
Practice Address - Country:US
Practice Address - Phone:760-779-5511
Practice Address - Fax:760-773-3320
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA71612207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI13925Medicare UPIN