Provider Demographics
NPI:1043809387
Name:GARZA, LEE ANN (FNP-C)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:ANN
Last Name:GARZA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5031 WAYLAND DR
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79762-5534
Mailing Address - Country:US
Mailing Address - Phone:432-580-7320
Mailing Address - Fax:432-580-7318
Practice Address - Street 1:5031 WAYLAND DR
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79762-5534
Practice Address - Country:US
Practice Address - Phone:432-580-7320
Practice Address - Fax:432-580-7318
Is Sole Proprietor?:No
Enumeration Date:2021-01-12
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1019994363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily