Provider Demographics
NPI:1134409972
Name:GARZA, VICTOR III (RN, MSN, NP-C)
Entity type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:
Last Name:GARZA
Suffix:III
Gender:M
Credentials:RN, MSN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4204 N EBONY DR
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-7657
Mailing Address - Country:US
Mailing Address - Phone:956-225-6197
Mailing Address - Fax:
Practice Address - Street 1:5110 N 10TH ST STE E
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2854
Practice Address - Country:US
Practice Address - Phone:956-631-4444
Practice Address - Fax:956-631-5478
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX554476363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily