Provider Demographics
NPI:1104789254
Name:GARZA, MARTHA S
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:S
Last Name:GARZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 EST. 14TH STREET
Mailing Address - Street 2:APARTMENT #10
Mailing Address - City:ALLIANCE
Mailing Address - State:NE
Mailing Address - Zip Code:69301
Mailing Address - Country:US
Mailing Address - Phone:308-629-8564
Mailing Address - Fax:
Practice Address - Street 1:330 EST. 14TH STREET
Practice Address - Street 2:APARTMENT #10
Practice Address - City:ALLIANCE
Practice Address - State:NE
Practice Address - Zip Code:69301
Practice Address - Country:US
Practice Address - Phone:308-629-8564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-05
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health