Healthcare Provider Details

I. General information

NPI: 1225322167
Provider Name (Legal Business Name): ELIZABETH MARIE GARZA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH MARIE HURLEY

II. Dates (important events)

Enumeration Date: 06/08/2011
Last Update Date: 09/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 CHIMNEY ROCK RD SUITE Y
HOUSTON TX
77081-2706
US

IV. Provider business mailing address

PO BOX 841969
DALLAS TX
75284-1969
US

V. Phone/Fax

Practice location:
  • Phone: 713-661-2951
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberP8777
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: