Individual provider · Type 1 NPI
Randolf Garza Jr.
Pediatric Nurse Practitioner · Odem, TX
NPI number
1003767740
Active
Practice location
5035 County Road 1883
Odem, TX 78370-4064
Other practice locations
- 1919 E Thomas Rd, Phoenix, AZ 85016-7710 · (602) 933-0920
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 982120 (TX) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 342006 (AZ) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1003767740
Randolf Garza Jr.'s National Provider Identifier is 1003767740, issued on Feb 9, 2026. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Odem, TX. The record was last updated on Jun 30, 2026.