Provider Demographics
NPI:1346694296
Name:GARZA, EVANGELINA (RN)
Entity Type:Individual
Prefix:
First Name:EVANGELINA
Middle Name:
Last Name:GARZA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4309 MORAVIAN DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-3719
Mailing Address - Country:US
Mailing Address - Phone:361-947-2154
Mailing Address - Fax:
Practice Address - Street 1:4309 MORAVIAN DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-3719
Practice Address - Country:US
Practice Address - Phone:361-947-2154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-18
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management