Healthcare Provider Details

I. General information

NPI: 1831545284
Provider Name (Legal Business Name): DIANA YVETTE GARZA-MARTINEZ L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2016
Last Update Date: 11/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E TORONTO AVE
MCALLEN TX
78503-1209
US

IV. Provider business mailing address

2102 TREASURE HILLS BLVD #3.144.05
HARLINGEN TX
78550-8736
US

V. Phone/Fax

Practice location:
  • Phone: 956-687-6155
  • Fax: 956-631-8063
Mailing address:
  • Phone: 956-296-1437
  • Fax: 956-296-6824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number69756
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: