Provider Demographics
NPI:1831684117
Name:GARCIA, ALEJANDRA (LVN)
Entity type:Individual
Prefix:MS
First Name:ALEJANDRA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10507 MELLOW MDWS APT 11103
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1270
Mailing Address - Country:US
Mailing Address - Phone:956-372-9444
Mailing Address - Fax:
Practice Address - Street 1:10507 MELLOW MDWS APT 11103
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1270
Practice Address - Country:US
Practice Address - Phone:956-372-9444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-28
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX326402164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse