Provider Demographics
NPI:1609535640
Name:GARZA, LANA MARIE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LANA
Middle Name:MARIE
Last Name:GARZA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N SAINT MARYS ST
Mailing Address - Street 2:
Mailing Address - City:BEEVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78102-4606
Mailing Address - Country:US
Mailing Address - Phone:361-362-6021
Mailing Address - Fax:361-362-6023
Practice Address - Street 1:2000 S MUSSETT
Practice Address - Street 2:
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102-6945
Practice Address - Country:US
Practice Address - Phone:361-362-6040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107269235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist