1578931044 NPI number — MRS. BRITTANY RUTH EUDORA GARZA APRN, FNP

Table of content: MRS. BRITTANY RUTH EUDORA GARZA APRN, FNP (NPI 1578931044)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578931044 NPI number — MRS. BRITTANY RUTH EUDORA GARZA APRN, FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GARZA
Provider First Name:
BRITTANY
Provider Middle Name:
RUTH EUDORA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
APRN, FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578931044
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/17/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 BREWSTER BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAMP LEJEUNE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28547-2575
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-450-4133
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6825 SOUTH FRY ROAD
Provider Second Line Business Practice Location Address:
#1200
Provider Business Practice Location Address City Name:
KATY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77494
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-395-3044
Provider Business Practice Location Address Fax Number:
281-395-3040
Provider Enumeration Date:
09/14/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  AP128612 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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