Provider Demographics
NPI:1629752845
Name:GARCIA, LUIS ANGEL (MSN, APRN, AGNP-C)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:ANGEL
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MSN, APRN, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7430 REMCON CIR BLDG B
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-3525
Mailing Address - Country:US
Mailing Address - Phone:915-401-8999
Mailing Address - Fax:888-658-3640
Practice Address - Street 1:7430 REMCON CIR BLDG B
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-3525
Practice Address - Country:US
Practice Address - Phone:915-401-8999
Practice Address - Fax:888-658-3640
Is Sole Proprietor?:No
Enumeration Date:2023-06-09
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1126560363LA2200X, 363LG0600X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology