1801139894 NPI number — MRS. PATRICIA IRELAND GARZA FNP

Table of content: MRS. PATRICIA IRELAND GARZA FNP (NPI 1801139894)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801139894 NPI number — MRS. PATRICIA IRELAND GARZA FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GARZA
Provider First Name:
PATRICIA
Provider Middle Name:
IRELAND
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
IRELAND
Provider Other First Name:
PATRICIA
Provider Other Middle Name:
KATHRYN
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1801139894
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/28/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
123 SE 3RD AVE
Provider Second Line Business Mailing Address:
SUITE 390
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33131-2003
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:
877-283-0663

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8585 N STEMMONS FWY
Provider Second Line Business Practice Location Address:
SUITE S 250
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75247-3836
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
187-786-8482
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/28/2013

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:  678158 , 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)





Copyright © 2007-2025 www.npivalidator.com