MEDICARE: MARTHA GUADALUPE GARZA APRN-CNP

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	363LF0000X	Family Nurse Practitioner	1054617	TX

General Provider Information

NPI Number	:	1124798558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA GUADALUPE GARZA APRN-CNP

Provider Business Mailing Address
First Line	:	5923 AKIN ELM
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78261-2173
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5923 AKIN ELM
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78261-2173
Country	:	US
Telephone Number	:	210-573-8643
Fax Number	:

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

Provider Enumeration Date	:	09/16/2021
Last Update Date	:	10/21/2025

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