Provider Demographics
NPI:1154589539
Name:GARZA, ROSEMARY (SLP)
Entity type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:
Last Name:GARZA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3611 N WARE RD
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-3304
Mailing Address - Country:US
Mailing Address - Phone:956-688-6969
Mailing Address - Fax:956-688-6970
Practice Address - Street 1:3611 N WARE RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-3304
Practice Address - Country:US
Practice Address - Phone:956-688-6969
Practice Address - Fax:956-688-6970
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101001235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist