Provider Demographics
NPI:1780329235
Name:GARCIA, PATRICIA
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
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 1:1502 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:BIG WELLS
Mailing Address - State:TX
Mailing Address - Zip Code:78830
Mailing Address - Country:US
Mailing Address - Phone:830-457-9322
Mailing Address - Fax:830-457-9325
Practice Address - Street 1:17 ROSEBUD CIR
Practice Address - Street 2:
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-4252
Practice Address - Country:US
Practice Address - Phone:830-275-8183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-29
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1055491363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily