MEDICARE: MRS. NATASHA RICHELLE GARZA RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	716384	TX

General Provider Information

NPI Number	:	1083196372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NATASHA RICHELLE GARZA RN

Provider Business Mailing Address
First Line	:	1920 BAYWOOD DR
Second Line	:
City	:	BAY CITY
State	:	TX
Zip	:	77414-7704
Country	:	US
Telephone Number	:	979-479-5244
Fax Number	:

Provider Business Practice Location Address
First Line	:	1920 BAYWOOD DR
Second Line	:
City	:	BAY CITY
State	:	TX
Zip	:	77414-7704
Country	:	US
Telephone Number	:	979-479-5244
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2018
Last Update Date	:	09/03/2018

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