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NPI Code Detail

MEDICARE: MISTY ELAINE GARZA RN, NNP

MEDICARE:   MISTY ELAINE GARZA  RN, NNP
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
1163WN0002XNeonatal Intensive Care Registered Nurse713137TX
2363LN0005XCritical Care Neonatal Nurse PractitionerAP141067TX

General Provider Information

NPI Number : 1528531290
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISTY ELAINE GARZA RN, NNP
Provider Business Mailing Address
First Line : 1819 CRAWFORD ST
Second Line :
City : HOUSTON
State : TX
Zip : 77002-8307
Country : US
Telephone Number : 979-240-9967
Fax Number :
Provider Business Practice Location Address
First Line : 13030 HUNTERS BREEZE ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78230-2811
Country : US
Telephone Number : 210-387-5515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2019
Last Update Date : 03/22/2023

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