Provider Demographics
NPI:1659660280
Name:GARICA, RAMONA DAVILA (RN-CPNP)
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:DAVILA
Last Name:GARICA
Suffix:
Gender:F
Credentials:RN-CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 EAST THIRD STREET
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78332
Mailing Address - Country:US
Mailing Address - Phone:361-664-5291
Mailing Address - Fax:361-668-1630
Practice Address - Street 1:305 E 3RD ST
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-4705
Practice Address - Country:US
Practice Address - Phone:361-664-5291
Practice Address - Fax:361-668-1630
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX428907363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics