Provider Demographics
NPI:1922570068
Name:GARZON, ASHLYNN (PA-C)
Entity Type:Individual
Prefix:
First Name:ASHLYNN
Middle Name:
Last Name:GARZON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1575 N SANTA FE AVE
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-3638
Mailing Address - Country:US
Mailing Address - Phone:214-733-6700
Mailing Address - Fax:
Practice Address - Street 1:1575 N SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003-3638
Practice Address - Country:US
Practice Address - Phone:405-285-0660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-31
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant