Provider Demographics
NPI:1639973191
Name:PARRA, LETICIA GARZA (FNP-C)
Entity type:Individual
Prefix:
First Name:LETICIA
Middle Name:GARZA
Last Name:PARRA
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1807 VINCA MNR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-2441
Mailing Address - Country:US
Mailing Address - Phone:361-444-8520
Mailing Address - Fax:
Practice Address - Street 1:1807 VINCA MNR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78260-2441
Practice Address - Country:US
Practice Address - Phone:361-444-8520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1193333363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily