Healthcare Provider Details

I. General information

NPI: 1093496473
Provider Name (Legal Business Name): MONICA GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2023
Last Update Date: 07/27/2023
Certification Date: 07/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1607 N SUGAR RD
EDINBURG TX
78541-8950
US

IV. Provider business mailing address

1607 N SUGAR RD
EDINBURG TX
78541-8950
US

V. Phone/Fax

Practice location:
  • Phone: 956-432-9055
  • Fax:
Mailing address:
  • Phone: 956-432-9055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374700000X
TaxonomyTechnician
License NumberRBT-23-271319
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: