Provider Demographics
NPI:1144502097
Name:GARZA, MARGO LISA
Entity type:Individual
Prefix:
First Name:MARGO
Middle Name:LISA
Last Name:GARZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19665 OIL ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:TX
Mailing Address - Zip Code:78069-4481
Mailing Address - Country:US
Mailing Address - Phone:210-214-2789
Mailing Address - Fax:
Practice Address - Street 1:19665 OIL ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:TX
Practice Address - Zip Code:78069-4481
Practice Address - Country:US
Practice Address - Phone:210-214-2789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX321862355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant