MEDICARE: MARIA ISABEL GARZA BS/ASSTSLP

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
1	2355S0801X	Speech-Language Assistant	34060	TX

General Provider Information

NPI Number	:	1497171243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA ISABEL GARZA BS/ASSTSLP

Provider Business Mailing Address
First Line	:	15800 HIGHWAY 3 APT 1914
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-2182
Country	:	US
Telephone Number	:	832-259-6727
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 W SAM HOUSTON PKWY S
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-1941
Country	:	US
Telephone Number	:	713-783-8181
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2014
Last Update Date	:	03/17/2014

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