MEDICARE: MS. DELMA ZAMBRANO GARZA LPC

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	101YM0800X	Mental Health Counselor	62789	TX
2	101YP2500X	Professional Counselor	62789	TX

General Provider Information

NPI Number	:	1750531323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DELMA ZAMBRANO GARZA LPC

Provider Business Mailing Address
First Line	:	2734 SUNRISE BLVD. STE 206
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584
Country	:	US
Telephone Number	:	281-705-0800
Fax Number	:

Provider Business Practice Location Address
First Line	:	2734 SUNRISE BLVD STE 206
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-8709
Country	:	US
Telephone Number	:	281-705-0800
Fax Number	:

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

Provider Enumeration Date	:	09/19/2008
Last Update Date	:	01/28/2011

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