Healthcare Provider Details

I. General information

NPI: 1609603836
Provider Name (Legal Business Name): VERUZKA GARCIA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2024
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 HAHLO ST
HOUSTON TX
77020-3022
US

IV. Provider business mailing address

424 HAHLO ST
HOUSTON TX
77020-3022
US

V. Phone/Fax

Practice location:
  • Phone: 713-674-3326
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: