Healthcare Provider Details

I. General information

NPI: 1639568918
Provider Name (Legal Business Name): DELIA GARCIA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2015
Last Update Date: 01/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2017 BROADWAY ST
PEARLAND TX
77581-5501
US

IV. Provider business mailing address

416 CENTER ST
PASADENA TX
77506-2330
US

V. Phone/Fax

Practice location:
  • Phone: 281-485-9990
  • Fax:
Mailing address:
  • Phone: 832-488-4828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP126859
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: