Provider Demographics
NPI:1184205882
Name:GARCIA, JOE DAVID (APRN)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:DAVID
Last Name:GARCIA
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 E GRIFFIN PKWY
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3223
Mailing Address - Country:US
Mailing Address - Phone:956-255-2888
Mailing Address - Fax:307-302-2010
Practice Address - Street 1:2010 E GRIFFIN PKWY
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-3223
Practice Address - Country:US
Practice Address - Phone:956-255-2888
Practice Address - Fax:307-302-2010
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-15
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1033334363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily