Provider Demographics
NPI:1962033555
Name:GARZA, JULIA MICHELLE
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:MICHELLE
Last Name:GARZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3715 S 1ST ST APT 371
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-0106
Mailing Address - Country:US
Mailing Address - Phone:210-488-1879
Mailing Address - Fax:
Practice Address - Street 1:3715 S 1ST ST APT 371
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-0106
Practice Address - Country:US
Practice Address - Phone:210-488-1879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-31
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program