Provider Demographics
NPI:1073870838
Name:GARZA, ALEX (RN, FNP)
Entity Type:Individual
Prefix:MR
First Name:ALEX
Middle Name:
Last Name:GARZA
Suffix:
Gender:M
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 7TH ST
Mailing Address - Street 2:5-300(5W)
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-6701
Mailing Address - Country:US
Mailing Address - Phone:415-744-2830
Mailing Address - Fax:
Practice Address - Street 1:90 7TH ST
Practice Address - Street 2:5-300(5W)
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-6701
Practice Address - Country:US
Practice Address - Phone:415-744-2830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA522212363LF0000X
TX521847363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily