Provider Demographics
NPI:1538802327
Name:GARZA, YXARITTZZA
Entity type:Individual
Prefix:
First Name:YXARITTZZA
Middle Name:
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 1:1405 FRANKLIN GATEWAY
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-8705
Mailing Address - Country:US
Mailing Address - Phone:770-951-5400
Mailing Address - Fax:770-702-5627
Practice Address - Street 1:1405 FRANKLIN GATEWAY SE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8705
Practice Address - Country:US
Practice Address - Phone:770-951-5400
Practice Address - Fax:770-702-5627
Is Sole Proprietor?:No
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN262075363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics