Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 125517 | TX |
NPI | 1033687520 |
---|---|
Provider Name | Maria S Garza |
First Address | Edinburg, TX 78539-0245 |
Second Address | Mission, TX 78572-6613 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2018 |
Last Update Date | 02/11/2018 |