Individual
JOANN GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
640 E BRAVO BLVD, ROMA, TX 78584-5720
(956) 849-2176
(956) 849-4155
Mailing address
640 E BRAVO BLVD, ROMA, TX 78584-5720
(956) 849-2176
(956) 849-4155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 01824
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518249150
—
TX
Enumeration date
09/09/2011
Last updated
03/09/2020
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