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NPI Code Detail

MEDICARE: MS. NICOLE RAQUEL GARCIA BA

MEDICARE: MS. NICOLE RAQUEL GARCIA BA
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
12355S0801XSpeech-Language Assistant

General Provider Information

NPI Number : 1336641166
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NICOLE RAQUEL GARCIA BA
Provider Business Mailing Address
First Line : 801 SUGAREE AVE APT 2324
Second Line :
City : AUSTIN
State : TX
Zip : 78757-1578
Country : US
Telephone Number : 956-638-6597
Fax Number :
Provider Business Practice Location Address
First Line : 4201 SPRING VALLEY RD STE 600
Second Line :
City : DALLAS
State : TX
Zip : 75244-1209
Country : US
Telephone Number : 866-919-3240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2018
Last Update Date : 05/02/2025

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