Provider Demographics
NPI:1053552349
Name:GARZA, ROBERT ISRAEL (LMT)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:ISRAEL
Last Name:GARZA
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 55602
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77255-5602
Mailing Address - Country:US
Mailing Address - Phone:713-385-6084
Mailing Address - Fax:832-487-8099
Practice Address - Street 1:7800 AMELIA RD # 2
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-1604
Practice Address - Country:US
Practice Address - Phone:713-385-6084
Practice Address - Fax:832-487-8099
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT000162225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist