Provider Demographics
NPI:1568936748
Name:GARZA, TOMI STOOKSBERRY (FNP-C)
Entity Type:Individual
Prefix:
First Name:TOMI
Middle Name:STOOKSBERRY
Last Name:GARZA
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 1:610 HULING BND
Mailing Address - Street 2:
Mailing Address - City:LIBERTY HILL
Mailing Address - State:TX
Mailing Address - Zip Code:78642-5814
Mailing Address - Country:US
Mailing Address - Phone:325-656-1199
Mailing Address - Fax:
Practice Address - Street 1:515 S CONGRESS AVE STE 104
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-1776
Practice Address - Country:US
Practice Address - Phone:512-931-3227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-22
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138975363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily