Provider Demographics
NPI:1801139894
Name:GARZA, PATRICIA IRELAND (FNP)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:IRELAND
Last Name:GARZA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:PATRICIA
Other - Middle Name:KATHRYN
Other - Last Name:IRELAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:123 SE 3RD AVE
Mailing Address - Street 2:SUITE 390
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2003
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:877-283-0663
Practice Address - Street 1:8585 N STEMMONS FWY
Practice Address - Street 2:SUITE S 250
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-3836
Practice Address - Country:US
Practice Address - Phone:187-786-8482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX678158363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily