Provider Demographics
NPI:1184108623
Name:GARZA-GEROW, LYZA ELAINE (BA, ASSISTANT, SLP)
Entity type:Individual
Prefix:MRS
First Name:LYZA
Middle Name:ELAINE
Last Name:GARZA-GEROW
Suffix:
Gender:F
Credentials:BA, ASSISTANT, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 W GRIFFIN PKWY
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-7305
Mailing Address - Country:US
Mailing Address - Phone:956-585-7738
Mailing Address - Fax:
Practice Address - Street 1:1700 W GRIFFIN PKWY
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-7305
Practice Address - Country:US
Practice Address - Phone:956-585-7738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health