Provider Demographics
NPI:1265685572
Name:GARCIA, DONNA L (FNP)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:L
Last Name:GARCIA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 COMMERCIAL AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-3117
Mailing Address - Country:US
Mailing Address - Phone:210-334-3700
Mailing Address - Fax:210-922-0162
Practice Address - Street 1:315 N SAN SABA STE 103
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-3196
Practice Address - Country:US
Practice Address - Phone:210-738-8222
Practice Address - Fax:210-738-8644
Is Sole Proprietor?:No
Enumeration Date:2008-10-30
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX504894363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2008004738OtherFNP CERTIFICATION
TX218343601Medicaid
TX504894OtherTEXAS BOARD OF NURSING
TX08753OtherPRESCRIPTION ID
TX504894OtherTEXAS BOARD OF NURSING