Provider Demographics
NPI:1295734036
Name:GARNER, CAROL ANN COX (MSN,CS,FNP)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ANN COX
Last Name:GARNER
Suffix:
Gender:F
Credentials:MSN,CS,FNP
Other - Prefix:MRS
Other - First Name:CAROL
Other - Middle Name:GARNER
Other - Last Name:DUNMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN,CS,FNP
Mailing Address - Street 1:1305 WONDER WORLD DR
Mailing Address - Street 2:SUITE 209
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-7546
Mailing Address - Country:US
Mailing Address - Phone:512-396-7575
Mailing Address - Fax:512-396-7555
Practice Address - Street 1:1305 WONDER WORLD DR
Practice Address - Street 2:SUITE 209
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7546
Practice Address - Country:US
Practice Address - Phone:512-396-7575
Practice Address - Fax:512-396-7555
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX241396363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX241396OtherBOARD OF NURSE EXAMINERS