Provider Demographics
NPI:1205392594
Name:GARZA-LYERLY, RUVIOLA (FNP-C)
Entity Type:Individual
Prefix:
First Name:RUVIOLA
Middle Name:
Last Name:GARZA-LYERLY
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 1:401 E KING AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78363-5666
Mailing Address - Country:US
Mailing Address - Phone:361-946-1232
Mailing Address - Fax:
Practice Address - Street 1:401 E KING AVE
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363-5666
Practice Address - Country:US
Practice Address - Phone:361-221-2943
Practice Address - Fax:361-221-2944
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF01190550363LF0000X
TXAP141531363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP141531OtherTEXAS BOARD OF NURSING