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NPI Code Detail

MEDICARE: ROXANNE DE LA GARZA

MEDICARE:   ROXANNE  DE LA GARZA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor92587TX

General Provider Information

NPI Number : 1215882931
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROXANNE DE LA GARZA
Provider Business Mailing Address
First Line : 215 SAINT CHARLES ST
Second Line :
City : HOUSTON
State : TX
Zip : 77003-2351
Country : US
Telephone Number : 713-992-7699
Fax Number :
Provider Business Practice Location Address
First Line : 2415 SUNSET BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77005-1431
Country : US
Telephone Number : 713-396-2804
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2026
Last Update Date : 02/27/2026

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Directions to “ ROXANNE DE LA GARZA ” Practice Location

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