Provider Demographics
NPI:1821749938
Name:GARNETT, TOMICA L (LVN)
Entity Type:Individual
Prefix:
First Name:TOMICA
Middle Name:L
Last Name:GARNETT
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3603 QUAIL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-2745
Mailing Address - Country:US
Mailing Address - Phone:915-227-8946
Mailing Address - Fax:
Practice Address - Street 1:3603 QUAIL RIDGE DR
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-2745
Practice Address - Country:US
Practice Address - Phone:915-227-8946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-11
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX339226164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty