Provider Demographics
NPI:1528403342
Name:GARZA, JAMIE FRUGIA (RN, NP)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:FRUGIA
Last Name:GARZA
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 58538
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-8538
Mailing Address - Country:US
Mailing Address - Phone:281-332-3507
Mailing Address - Fax:281-572-8990
Practice Address - Street 1:905 W MEDICAL CENTER BLVD STE 406
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4009
Practice Address - Country:US
Practice Address - Phone:281-322-3507
Practice Address - Fax:281-572-8990
Is Sole Proprietor?:No
Enumeration Date:2013-05-07
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX705517363LW0102X
TXAP123524363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB120293OtherMEDICARE PROVIDER NUMBER