Healthcare Provider Details

I. General information

NPI: 1831389196
Provider Name (Legal Business Name): YVONNE MULLER DE LA GARZA H.I.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YVONNE MULLER H.I.S.

II. Dates (important events)

Enumeration Date: 08/01/2007
Last Update Date: 11/01/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 CENTRAL BLVD STE H4
BROWNSVILLE TX
78520-7543
US

IV. Provider business mailing address

1200 CENTRAL BLVD STE H4
BROWNSVILLE TX
78520-7543
US

V. Phone/Fax

Practice location:
  • Phone: 956-542-3300
  • Fax: 956-542-2043
Mailing address:
  • Phone: 956-542-3300
  • Fax: 956-542-2043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number80236
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: