Provider Demographics
NPI:1205336799
Name:GARCIA, BRENDA ALVAREZ
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:ALVAREZ
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1672 MCBETH PECAN FARM RD
Mailing Address - Street 2:
Mailing Address - City:SNYDER
Mailing Address - State:TX
Mailing Address - Zip Code:79549-0456
Mailing Address - Country:US
Mailing Address - Phone:956-429-1057
Mailing Address - Fax:
Practice Address - Street 1:1672 MCBETH PECAN FARM RD
Practice Address - Street 2:
Practice Address - City:SNYDER
Practice Address - State:TX
Practice Address - Zip Code:79549-0456
Practice Address - Country:US
Practice Address - Phone:956-429-1120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX746906163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse