Mr Randolf Garza Jr, is a medicare enrolled "Nurse Practitioner - Pediatrics" in Odem, Texas. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is
5035 County Road 1883, Odem, Texas. You can reach out to his office (for appointments etc.) via phone at
(361) 813-3779.
Mr Randolf Garza Jr is licensed to practice in Arizona (license number 342006) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1003767740.
Provider's Profile
| Full Name | Mr Randolf Garza Jr |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 1 Years |
|---|
| Location | 5035 County Road 1883, Odem, Texas |
|---|
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Randolf Garza Jr graduated from nursing school in 2025
NPI Data:
- NPI Number: 1003767740
- Provider Enumeration Date: 02/09/2026
- Last Update Date: 06/30/2026
Medicare PECOS Information:
- PECOS PAC ID: 5294291464
- Enrollment ID: I20260728003716
Medical Identifiers
Medical identifiers for Mr Randolf Garza Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003767740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 982120 (Texas) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 342006 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Randolf Garza Jr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Randolf Garza Jr, 5035 County Road 1883, Odem, TX 78370-4064 Ph: (361) 813-3779 | Mr Randolf Garza Jr, 5035 County Road 1883, Odem, TX 78370-4064 Ph: (361) 813-3779 |
Reviews and Comments