Provider Demographics
NPI:1366335465
Name:GARZA, TERRA NICOLE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:TERRA
Middle Name:NICOLE
Last Name:GARZA
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2436 PABLO KISEL BLVD # 1059
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-4095
Mailing Address - Country:US
Mailing Address - Phone:956-357-9945
Mailing Address - Fax:
Practice Address - Street 1:2436 PABLO KISEL BLVD # 1059
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-4095
Practice Address - Country:US
Practice Address - Phone:956-357-9945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1198658363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health