Healthcare Provider Details

I. General information

NPI: 1891270989
Provider Name (Legal Business Name): ALMA DIANA GARZA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2018
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1139 E SONTERRA BLVD STE 301
SAN ANTONIO TX
78258-4348
US

IV. Provider business mailing address

1139 E SONTERRA BLVD STE 301
SAN ANTONIO TX
78258-4348
US

V. Phone/Fax

Practice location:
  • Phone: 210-614-2453
  • Fax: 210-614-2735
Mailing address:
  • Phone: 210-614-2453
  • Fax: 210-614-2735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF0918026
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: