Provider Demographics
NPI:1215619382
Name:GARZA, FELICITAS GUADALUPE
Entity type:Individual
Prefix:MRS
First Name:FELICITAS
Middle Name:GUADALUPE
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 1:405 SIRIA ST
Mailing Address - Street 2:
Mailing Address - City:SULLIVAN CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78595-2079
Mailing Address - Country:US
Mailing Address - Phone:956-400-3521
Mailing Address - Fax:
Practice Address - Street 1:405 SIRIA ST
Practice Address - Street 2:
Practice Address - City:SULLIVAN CITY
Practice Address - State:TX
Practice Address - Zip Code:78595-2079
Practice Address - Country:US
Practice Address - Phone:956-400-3521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant