Healthcare Provider Details

I. General information

NPI: 1831870807
Provider Name (Legal Business Name): MELINDA GARZA LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2023
Last Update Date: 07/31/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

726 E MICHIGAN DR STE 408
HOBBS NM
88240-3465
US

IV. Provider business mailing address

1630 E KATY LN
HOBBS NM
88242-5033
US

V. Phone/Fax

Practice location:
  • Phone: 575-602-5048
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number6760
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: