Provider Demographics
NPI:1861022188
Name:GARCIA, PEDRO (APRN-FNP)
Entity Type:Individual
Prefix:
First Name:PEDRO
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:APRN-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11935 W MILE 8 RD
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-4479
Mailing Address - Country:US
Mailing Address - Phone:956-292-5640
Mailing Address - Fax:
Practice Address - Street 1:11935 W MILE 8 RD
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78573-4479
Practice Address - Country:US
Practice Address - Phone:956-292-5640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-26
Last Update Date:2020-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144617363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily