Provider Demographics
NPI:1407976749
Name:TIMBS, MAYANITH GARZA (FNP-C)
Entity Type:Individual
Prefix:
First Name:MAYANITH
Middle Name:GARZA
Last Name:TIMBS
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 1:1100 HERCULES AVE
Mailing Address - Street 2:STE. 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2720
Mailing Address - Country:US
Mailing Address - Phone:281-335-1111
Mailing Address - Fax:
Practice Address - Street 1:1100 HERCULES AVE
Practice Address - Street 2:STE. 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2720
Practice Address - Country:US
Practice Address - Phone:281-335-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX669984363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily