Provider Demographics
NPI:1184832958
Name:GARZA, ANNA MARIA (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:GARZA
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:MARIA
Other - Last Name:ESPINOZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICIAN ASSISTANT
Mailing Address - Street 1:3212 BOYCE CIR
Mailing Address - Street 2:
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-4727
Mailing Address - Country:US
Mailing Address - Phone:956-464-9151
Mailing Address - Fax:
Practice Address - Street 1:109 S TEXAS AVE
Practice Address - Street 2:STE E
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570-2725
Practice Address - Country:US
Practice Address - Phone:956-514-1643
Practice Address - Fax:956-514-2564
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA01877363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant