Healthcare Provider Details

I. General information

NPI: 1306809165
Provider Name (Legal Business Name): ROSALIND GARZA-HARRIS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 09/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6851 CITIZENS PKWY
SAN ANTONIO TX
78229-3620
US

IV. Provider business mailing address

6851 CITIZENS PKWY
SAN ANTONIO TX
78229-3620
US

V. Phone/Fax

Practice location:
  • Phone: 210-299-1444
  • Fax: 210-299-1446
Mailing address:
  • Phone: 210-299-1444
  • Fax: 210-299-1446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number30855
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: