Provider Demographics
NPI:1760039796
Name:FRANCIS-VERBEELEN, GARRY ADAM (AGCNSBC)
Entity Type:Individual
Prefix:
First Name:GARRY
Middle Name:ADAM
Last Name:FRANCIS-VERBEELEN
Suffix:
Gender:M
Credentials:AGCNSBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1290 WONDER WORLD DR STE 1100
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-7969
Mailing Address - Country:US
Mailing Address - Phone:512-393-3325
Mailing Address - Fax:512-393-3328
Practice Address - Street 1:1290 WONDER WORLD DR STE 1100
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7969
Practice Address - Country:US
Practice Address - Phone:512-393-3325
Practice Address - Fax:512-393-3328
Is Sole Proprietor?:No
Enumeration Date:2019-08-23
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142800364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology