Healthcare Provider Details

I. General information

NPI: 1255969044
Provider Name (Legal Business Name): ANAKAREN GARZA PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2020
Last Update Date: 09/16/2024
Certification Date: 09/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15882 CHAMPION FOREST DR
SPRING TX
77379-7141
US

IV. Provider business mailing address

5718 WESTHEIMER RD STE 1800
HOUSTON TX
77057-5773
US

V. Phone/Fax

Practice location:
  • Phone: 281-783-8162
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA13555
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: