Provider Demographics
NPI:1831681279
Name:GARCIA, YURIKO (PA-C)
Entity type:Individual
Prefix:MRS
First Name:YURIKO
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:YURIKO
Other - Middle Name:
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:406 S PASEO DEL REY ST
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-0047
Mailing Address - Country:US
Mailing Address - Phone:956-329-4323
Mailing Address - Fax:
Practice Address - Street 1:910 S. BRYAN RD.
Practice Address - Street 2:SUITE #105
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572
Practice Address - Country:US
Practice Address - Phone:956-581-0539
Practice Address - Fax:956-585-0745
Is Sole Proprietor?:No
Enumeration Date:2018-06-01
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA12019363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant