Provider Demographics
NPI:1841690435
Name:GARZA, AMANDA SUZANNE (MSN, RN, FNP)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:SUZANNE
Last Name:GARZA
Suffix:
Gender:F
Credentials:MSN, RN, FNP
Other - Prefix:MRS
Other - First Name:AMANDA
Other - Middle Name:SUZANNE
Other - Last Name:UNDERWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:401 W RUSK ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-3606
Mailing Address - Country:US
Mailing Address - Phone:972-772-8194
Mailing Address - Fax:972-772-8175
Practice Address - Street 1:102 S 1ST ST STE B
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-3793
Practice Address - Country:US
Practice Address - Phone:972-772-8194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-02
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126360363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily