Provider Demographics
NPI:1760725600
Name:GARZA, IRASEMA LIZETTE (BA, SLP ASSISTANT)
Entity Type:Individual
Prefix:
First Name:IRASEMA
Middle Name:LIZETTE
Last Name:GARZA
Suffix:
Gender:F
Credentials:BA, SLP ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6666 HARWIN DR
Mailing Address - Street 2:SUITE 345
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2292
Mailing Address - Country:US
Mailing Address - Phone:713-429-1176
Mailing Address - Fax:832-252-9263
Practice Address - Street 1:6666 HARWIN DR
Practice Address - Street 2:SUITE 345
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2292
Practice Address - Country:US
Practice Address - Phone:713-429-1176
Practice Address - Fax:832-252-9263
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX371862355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant