Provider Demographics
NPI:1790913572
Name:GARCIA, APRIL STEPHANIE (PA)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:STEPHANIE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:826 COMEDY LN
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-1927
Mailing Address - Country:US
Mailing Address - Phone:210-884-5558
Mailing Address - Fax:
Practice Address - Street 1:3509 E MAIN AVE
Practice Address - Street 2:STE 101
Practice Address - City:ALTON
Practice Address - State:TX
Practice Address - Zip Code:78573-1561
Practice Address - Country:US
Practice Address - Phone:956-580-9950
Practice Address - Fax:956-580-9953
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA05917363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPA05917OtherLICENSE/PERMIT NUMBER