MEDICARE: DEANNA GARCIA P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA06022	TX

General Provider Information

NPI Number	:	1083856942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEANNA GARCIA P.A.

Provider Business Mailing Address
First Line	:	750 W FM 544
Second Line	:
City	:	WYLIE
State	:	TX
Zip	:	75098-3913
Country	:	US
Telephone Number	:	817-925-0901
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 W FM 544
Second Line	:
City	:	WYLIE
State	:	TX
Zip	:	75098-3913
Country	:	US
Telephone Number	:	817-925-0901
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2009
Last Update Date	:	03/17/2018

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Directions to “ DEANNA GARCIA P.A.” Practice Location

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