Doctor Name: | MRS. LISA MARIE GARZA |
NPI Number: | 1013214899 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R,T.(R)(MR) |
License Number: | 351074 |
Business Practice Address: | 300 W Veterans Blvd Big Spring, TX - 797205566 |
Business Phone Number: | 4322637361 |
Business Fax Number: | |
Mailing Address: | 3206 Fenn St, BIG SPRING |
State: | TX |
Postal Code: | 797203500 |
Phone Number: | 4328166053 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2011 |
NPI Last Update Date: | 02/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471M1202X |
License Number: | 351074 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Magnetic Resonance Imaging |
Taxonomy Definition: |