Provider Demographics
NPI:1013209964
Name:GARZA, JANA (FNP)
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:
Last Name:GARZA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5402 AIRLINE DR
Mailing Address - Street 2:SUITE C 6-7
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77076-4902
Mailing Address - Country:US
Mailing Address - Phone:713-239-1572
Mailing Address - Fax:713-239-1577
Practice Address - Street 1:5402 AIRLINE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-4902
Practice Address - Country:US
Practice Address - Phone:713-239-1572
Practice Address - Fax:713-239-1577
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX721247363LF0000X
TXAP120900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily