JACOB DANIEL DE LA GARZA (NPI# 1396367975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396367975 |
| Entity Type | Individual |
| Full Name | JACOB DANIEL DE LA GARZA |
| Practice Address |
1415 N Main Ave Apt 1325 San Antonio TX 78212-4306 |
| Practice Telephone | 2108677467 |
| Mailing Telephone | 2108677467 |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1415 N MAIN AVE APT 1325 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78212-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
| 1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
| 1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
| 1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
| 1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
| 1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
| Find all providers in zip 78212 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1851909147 | Shayan Ahmed | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr # 7742, San Antonio, TX 78229-3901 | 2020-07-22 |
| 1306464524 | Nancy Mo | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio - Agdc, 8210 Floyd Curl Drive, Msc 8103, San Antonio, TX 78229-3923 | 2020-07-14 |
| 1073131587 | Keaton Shin | Student in an Organized Health Care Education/Training Program | 7123 Gallery Rdg, San Antonio, TX 78250-3305 | 2020-07-10 |
| 1619595154 | Sarah Connell | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Aegd, 8210 Floyd Curl Dr Msc 8103, San Antonio, TX 78229-3923 | 2020-07-10 |
| 1336767466 | Dalyssa Renee Gonzalez | Student in an Organized Health Care Education/Training Program | 24165 Ih 10 W Ste 125, San Antonio, TX 78257-1160 | 2020-07-06 |
| 1740807197 | Bradley James Miller | Student in an Organized Health Care Education/Training Program | 146 Agency Oaks, San Antonio, TX 78249-1538 | 2020-07-01 |
| 1396361085 | Tu Dao | Student in an Organized Health Care Education/Training Program | 8338 Hudson Holw, San Antonio, TX 78254-4588 | 2020-06-18 |
| 1386267730 | Juliana Gaviria Velasquez | Student in an Organized Health Care Education/Training Program | 5039 Hamilton Wolfe Rd Apt 1207, San Antonio, TX 78229-4457 | 2020-05-20 |
| 1477175065 | David Alonso Martinez | Student in an Organized Health Care Education/Training Program | 11659 Tribute Oaks, San Antonio, TX 78254-2103 | 2020-05-18 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78212 |
Please comment or provide details below to improve the information on JACOB DANIEL DE LA GARZA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.