MRS. MYRA LEIGH DE LA GARZA


Address: 3804 S Jackson Rd Ste 3, Edinburg, TX 78539-6683
Phone: 9562963041

MRS. MYRA LEIGH DE LA GARZA (NPI# 1316410426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316410426
Entity Type Individual
Full Name MRS. MYRA LEIGH DE LA GARZA
Credential NP-C
Practice Address 3804 S Jackson Rd Ste 3
Edinburg
TX 78539-6683
Mailing Address 1612 E 30th St
Mission
TX 78574-1788
Practice Telephone 9562963041
Practice Fax Number 9562963040
Mailing Telephone 9562486606
Enumeration Date 2019-01-10
Last Update Date 2020-11-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP139673 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS H08KV811 01
TX 395081801 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2821 Michaelangelo Dr Ste 202, Edinburg, TX 785391406 9563622465

Office Location

Street Address 3804 S JACKSON RD STE 3
City EDINBURG
State TX
Zip Code 78539-6683

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1336775527 Lifeline Pharmacy 1 LLC Pharmacy 2500 W Trenton Road, Suite 12, Edinburg, TX 78539 2020-03-19
1881234045 Tina Michelle Wisdom Nurse Practitioner 5501 Rafael Drive, Edinburg, TX 78539 2020-01-15
1649838178 Charles Medical Management Services, LLC Clinical Medical Laboratory 723 E. University, Edinburg, TX 78539 2019-05-30
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1114480837 Doctors Dermatology and Associates Dermatology 2605 W Trenton Rd, Edinburg, TX 78539 2019-04-09
1053872200 Leonel Vela Preventive Medicine Utrgv School of Medicine, 1201 W. University Dr., Edinburg, TX 78539 2019-03-29
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982219366 Violeta Karina Velasco Nurse Practitioner 5716 Premiere Ln, Edinburg, TX 78542-1931 2020-09-11
1700421278 Anabelle V Galindo Nurse Practitioner 1211 Habanero Ln, Edinburg, TX 78539-6086 2019-11-08
1265082440 Dorothy Necole Maddox Nurse Practitioner 615 Steamboat Dr, Edinburg, TX 78541-1304 2019-09-19
1487210803 Noemi Gabriela Sanchez Nurse Practitioner 5111 Virginia St, Edinburg, TX 78542-6299 2019-05-10
1104481456 Rosa Lina Aguirre Nurse Practitioner 24210 Jackpot Blvd, Edinburg, TX 78542-4329 2019-05-02
1154888279 Aaron Salinas Nurse Practitioner 613 N Sugar Road, Student Health, Edinburg, TX 78539-7853 2019-02-25
1275090698 Georgina Gonzalez Nurse Practitioner 1301 Ricco St, Edinburg, TX 78539-2111 2019-02-21
1770058711 Arely Martinez Nurse Practitioner 3002 N Bus 281 Ste B, Edinburg, TX 78541-7162 2018-10-05
1366925174 Nneka Lorretta Nweke Nurse Practitioner 525 Oregano St, Edinburg, TX 78541-7428 2018-09-08
1659859759 Regis Santos Gener Nurse Practitioner 3205 Knight Ave, Edinburg, TX 78539-6848 2018-07-31
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Competitor

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City EDINBURG
Zip Code 78539

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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