Healthcare Provider Details

I. General information

NPI: 1275411142
Provider Name (Legal Business Name): LAURA LIZETH GARCIA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 COMMERCE DR
LAS CRUCES NM
88011-8209
US

IV. Provider business mailing address

721 PHIL HANSEN DR
CANUTILLO TX
79835-6487
US

V. Phone/Fax

Practice location:
  • Phone: 575-405-4062
  • Fax:
Mailing address:
  • Phone: 915-246-7733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number1192646
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: