Provider Demographics
NPI:1699505479
Name:GARZA, ELSA MARIE GREGORY (FNP-C)
Entity type:Individual
Prefix:
First Name:ELSA
Middle Name:MARIE GREGORY
Last Name:GARZA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 ROSSI DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-2517
Mailing Address - Country:US
Mailing Address - Phone:361-688-8807
Mailing Address - Fax:
Practice Address - Street 1:925 ROSSI DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-2517
Practice Address - Country:US
Practice Address - Phone:361-688-8807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1170636363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily