Provider Demographics
NPI:1710466826
Name:GARZA, TABATHA ANN (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:TABATHA
Middle Name:ANN
Last Name:GARZA
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1892
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-0031
Mailing Address - Country:US
Mailing Address - Phone:956-383-0714
Mailing Address - Fax:956-383-4222
Practice Address - Street 1:702 W UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539
Practice Address - Country:US
Practice Address - Phone:956-383-0714
Practice Address - Fax:956-383-4222
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138311363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily