Provider Demographics
NPI:1164062733
Name:ESMILLA, ALIDA GARZA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ALIDA
Middle Name:GARZA
Last Name:ESMILLA
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 1:1219 CRICKLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3655
Mailing Address - Country:US
Mailing Address - Phone:713-876-0329
Mailing Address - Fax:
Practice Address - Street 1:3838 N SAM HOUSTON PKWY E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77032-3400
Practice Address - Country:US
Practice Address - Phone:844-342-2227
Practice Address - Fax:713-401-9758
Is Sole Proprietor?:No
Enumeration Date:2020-01-13
Last Update Date:2023-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX822842163W00000X
390200000X
TXAP144894363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program