Provider Demographics
NPI:1669605812
Name:GARZA, ROSARIO (PTA)
Entity type:Individual
Prefix:
First Name:ROSARIO
Middle Name:
Last Name:GARZA
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 N CAGE
Mailing Address - Street 2:SUITE I, J
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-3109
Mailing Address - Country:US
Mailing Address - Phone:956-787-6600
Mailing Address - Fax:
Practice Address - Street 1:805 N CAGE
Practice Address - Street 2:SUITE I, J
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-3109
Practice Address - Country:US
Practice Address - Phone:956-787-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2021010225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant