Provider Demographics
NPI:1598566564
Name:GARZA, GENOVEVA (RPH)
Entity type:Individual
Prefix:MS
First Name:GENOVEVA
Middle Name:
Last Name:GARZA
Suffix:
Gender:
Credentials:RPH
Other - Prefix:MS
Other - First Name:HENNIE
Other - Middle Name:
Other - Last Name:GARZA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:218 RUSHCREEK DR
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-3803
Mailing Address - Country:US
Mailing Address - Phone:214-708-9554
Mailing Address - Fax:
Practice Address - Street 1:218 RUSHCREEK DR
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-3803
Practice Address - Country:US
Practice Address - Phone:214-708-9554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32165208U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208U00000XAllopathic & Osteopathic PhysiciansClinical Pharmacology