Provider Demographics
NPI:1033370200
Name:GARCIA, JOEL I (LVN)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:
Last Name:GARCIA
Suffix:I
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 VANILLA
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:TX
Mailing Address - Zip Code:78516-7215
Mailing Address - Country:US
Mailing Address - Phone:956-929-8137
Mailing Address - Fax:
Practice Address - Street 1:213 VANILLA
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:TX
Practice Address - Zip Code:78516-7215
Practice Address - Country:US
Practice Address - Phone:956-929-8137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX214021164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse