Provider Demographics
NPI:1659448835
Name:GARCIA, PAMELA Y (NP)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:Y
Last Name:GARCIA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6139
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-6139
Mailing Address - Country:US
Mailing Address - Phone:956-362-3636
Mailing Address - Fax:956-362-2699
Practice Address - Street 1:5520 LEONARDO DA VINCI STE 100
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-1422
Practice Address - Country:US
Practice Address - Phone:956-362-3636
Practice Address - Fax:956-362-2699
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX658142363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX322192102Medicaid
TX322192101Medicaid
TX295367YZ3UMedicare PIN
TX322192101Medicaid