Provider Demographics
NPI:1205127164
Name:GARZA, AMY MARIE (PT, DPT, COO)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:MARIE
Last Name:GARZA
Suffix:
Gender:F
Credentials:PT, DPT, COO
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:HERZOG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5413 N. 23RD STREET
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504
Mailing Address - Country:US
Mailing Address - Phone:956-994-8880
Mailing Address - Fax:956-994-8880
Practice Address - Street 1:5413 N. 23RD STREET
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504
Practice Address - Country:US
Practice Address - Phone:956-994-8880
Practice Address - Fax:956-994-8880
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1175459225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB142001Medicare PIN