Healthcare Provider Details

I. General information

NPI: 1629478193
Provider Name (Legal Business Name): AMELIE GARZA APRN, MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2014
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13830 SAWYER RANCH RD STE 102
DRIPPING SPRINGS TX
78620-5514
US

IV. Provider business mailing address

PO BOX 27073
BELFAST ME
04915-2022
US

V. Phone/Fax

Practice location:
  • Phone: 512-301-6400
  • Fax: 512-301-6401
Mailing address:
  • Phone: 512-600-0866
  • Fax: 866-611-6561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP126292
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: