Provider Demographics
NPI:1407066913
Name:GARZA, MARIA FELICITAS (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:FELICITAS
Last Name:GARZA
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:FELICE
Other - Middle Name:M
Other - Last Name:GARZA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHYSICAL THERAPY
Mailing Address - Street 1:PO BOX 864
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-1617
Mailing Address - Country:US
Mailing Address - Phone:956-533-3019
Mailing Address - Fax:
Practice Address - Street 1:1907 NORTH I ROAD
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-1617
Practice Address - Country:US
Practice Address - Phone:956-533-3019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1012847225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist