Healthcare Provider Details

I. General information

NPI: 1164259305
Provider Name (Legal Business Name): MELISSA ANN GARZA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS MELISSA ANN MUELLER

II. Dates (important events)

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

III. Provider practice location address

9939 HIGHWAY 151
SAN ANTONIO TX
78251-1900
US

IV. Provider business mailing address

12628 BRITE RNCH
SAN ANTONIO TX
78245-3218
US

V. Phone/Fax

Practice location:
  • Phone: 210-706-7800
  • Fax:
Mailing address:
  • Phone: 210-827-1979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number824183
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: