Provider Demographics
NPI:1467077420
Name:GARCIA PEREZ, DAVID (AGACNP)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:GARCIA PEREZ
Suffix:
Gender:M
Credentials:AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7263 CAMINO DEL SOL
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79911-3011
Mailing Address - Country:US
Mailing Address - Phone:915-702-0165
Mailing Address - Fax:915-702-0167
Practice Address - Street 1:7263 CAMINO DEL SOL
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79911-3011
Practice Address - Country:US
Practice Address - Phone:915-503-7312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-15
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAPI146025363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner