Provider Demographics
NPI:1851892228
Name:MARTINEZ-GARZA, DENNIS YANNETH (AGNP-BC)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:YANNETH
Last Name:MARTINEZ-GARZA
Suffix:
Gender:F
Credentials:AGNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1417 N WARE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-8587
Mailing Address - Country:US
Mailing Address - Phone:956-585-4704
Mailing Address - Fax:956-585-6775
Practice Address - Street 1:1417 N WARE RD STE 300
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-8587
Practice Address - Country:US
Practice Address - Phone:956-585-4704
Practice Address - Fax:956-585-6775
Is Sole Proprietor?:No
Enumeration Date:2018-02-21
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136379363LG0600X, 363LP2300X, 363LF0000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health