Healthcare Provider Details

I. General information

NPI: 1720971799
Provider Name (Legal Business Name): ALEXANDRA GARCIA CSFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2025
Last Update Date: 05/30/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 S PADRE ISLAND DR
CORPUS CHRISTI TX
78412-4913
US

IV. Provider business mailing address

7934 VISHAL DR
CORPUS CHRISTI TX
78414-2176
US

V. Phone/Fax

Practice location:
  • Phone: 361-761-3349
  • Fax:
Mailing address:
  • Phone: 210-324-2550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: