Doctor Name: | JESSICA GARZA |
NPI Number: | 1043626773 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 110097 |
Business Practice Address: | 12605 East Fwy Suite 212 Houston, TX - 770155625 |
Business Phone Number: | 7134530400 |
Business Fax Number: | |
Mailing Address: | 1849 Colquitt St, Apartment #5 HOUSTON |
State: | TX |
Postal Code: | 770983530 |
Phone Number: | 8322472075 |
Fax Number: | |
NPI Enumeration Date: | 07/02/2014 |
NPI Last Update Date: | 07/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 110097 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |