Provider Demographics
NPI:1275419293
Name:GARZA, LAURA JIMENEZ (MS, RDN, LD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:JIMENEZ
Last Name:GARZA
Suffix:
Gender:F
Credentials:MS, RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 CAMPO VERDE CIR
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589-2696
Mailing Address - Country:US
Mailing Address - Phone:956-342-2188
Mailing Address - Fax:
Practice Address - Street 1:611 N MCCOLL RD STE A
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-9365
Practice Address - Country:US
Practice Address - Phone:956-600-3475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT07314133VN1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management