MEDICARE: SONIA S. 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
1	363LF0000X	Family Nurse Practitioner	AP126958	TX

General Provider Information

NPI Number	:	1649677212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONIA S. GARZA

Provider Business Mailing Address
First Line	:	568 PECAN DR
Second Line	:
City	:	SOUTH HOUSTON
State	:	TX
Zip	:	77587-5134
Country	:	US
Telephone Number	:	832-656-7403
Fax Number	:

Provider Business Practice Location Address
First Line	:	8800 LONG POINT RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-3025
Country	:	US
Telephone Number	:	713-973-8292
Fax Number	:

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

Provider Enumeration Date	:	11/26/2014
Last Update Date	:	11/26/2014

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Directions to “ SONIA S. GARZA ” Practice Location

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