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Individual

ERIKA KRISTINE DE LA GARZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1702 HWY. 181 NORTH, PORTLAND, TX 78374
(800) 893-9698
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
724348
TX

Other

Enumeration date
10/16/2012
Last updated
10/16/2012
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