Provider Demographics
NPI:1669980603
Name:GARZA, COURTNEY BLAINE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:BLAINE
Last Name:GARZA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:BLAINE
Other - Last Name:KUBICEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4411 MEDICAL DR STE 300
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3824
Mailing Address - Country:US
Mailing Address - Phone:210-614-5400
Mailing Address - Fax:541-393-9081
Practice Address - Street 1:4411 MEDICAL DR STE 120
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3829
Practice Address - Country:US
Practice Address - Phone:210-614-5400
Practice Address - Fax:541-393-9081
Is Sole Proprietor?:No
Enumeration Date:2018-01-11
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135347363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily