Provider Demographics
NPI:1023649282
Name:GARZA, ALEXANDRA TAYLOR
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:TAYLOR
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 1:114 E 31ST ST APT 103
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-3028
Mailing Address - Country:US
Mailing Address - Phone:361-877-3561
Mailing Address - Fax:
Practice Address - Street 1:114 E 31ST ST APT 103
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-3028
Practice Address - Country:US
Practice Address - Phone:361-877-3561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program