Basic Information
| Provider Information | |||||||||
| NPI: | 1407459993 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GARZA | ||||||||
| FirstName: | CYNTHIA | ||||||||
| MiddleName: | TREVINO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7402 N 16TH LN | ||||||||
| Address2: | |||||||||
| City: | MCALLEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785043244 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9562866080 | ||||||||
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| Practice Location | |||||||||
| Address1: | 910 N MAIN ST | ||||||||
| Address2: | |||||||||
| City: | MCALLEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785014327 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9566866881 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/18/2020 | ||||||||
| LastUpdateDate: | 11/23/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 11/23/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | 80960 | TX | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.