Provider Demographics
NPI:1255983599
Name:GARZA, VERONICA MAYLAND (COTA)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:MAYLAND
Last Name:GARZA
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12106 CYPRESS PLACE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-1911
Mailing Address - Country:US
Mailing Address - Phone:281-830-1582
Mailing Address - Fax:855-232-8604
Practice Address - Street 1:12106 CYPRESS PLACE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-1911
Practice Address - Country:US
Practice Address - Phone:281-830-1582
Practice Address - Fax:855-232-8604
Is Sole Proprietor?:No
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX210577224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant