Provider Demographics
NPI:1780462721
Name:GARZA, EDEN FAITH (CF-SLP)
Entity type:Individual
Prefix:
First Name:EDEN
Middle Name:FAITH
Last Name:GARZA
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 E 29TH ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:79072-2622
Mailing Address - Country:US
Mailing Address - Phone:806-441-8603
Mailing Address - Fax:
Practice Address - Street 1:2501 JOLIET ST
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:TX
Practice Address - Zip Code:79072-3042
Practice Address - Country:US
Practice Address - Phone:806-293-6020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121447235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist