Provider Demographics
NPI:1760262927
Name:DE LA GARZA, CLAUDIA ELENA (PTA)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:ELENA
Last Name:DE LA GARZA
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 W EXPRESSWAY 83 STE 40
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-0032
Mailing Address - Country:US
Mailing Address - Phone:956-331-8441
Mailing Address - Fax:
Practice Address - Street 1:4501 W EXPRESSWAY 83 STE 40
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-0032
Practice Address - Country:US
Practice Address - Phone:956-331-8441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2046126225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant