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NPI Code Detail

MEDICARE: ROSALIE GARZA APRN-CNP

MEDICARE: ROSALIE GARZA APRN-CNP
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
1363LF0000XFamily Nurse PractitionerAP144901TX

General Provider Information

NPI Number : 1841809357
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSALIE GARZA APRN-CNP
Provider Business Mailing Address
First Line : 2500 HWY 305 SOUTH
Second Line :
City : MCCAMEY
State : TX
Zip : 78239
Country : US
Telephone Number : 210-900-9085
Fax Number :
Provider Business Practice Location Address
First Line : 120 E SONTERRA BLVD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-3982
Country : US
Telephone Number : 210-404-9006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2020
Last Update Date : 10/15/2021

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