Healthcare Provider Details

I. General information

NPI: 1750977294
Provider Name (Legal Business Name): DEANA GARCIA AGACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2020
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18707 HARDY OAK BLVD STE 530
SAN ANTONIO TX
78258-4841
US

IV. Provider business mailing address

555 CREEKSIDE XING
NEW BRAUNFELS TX
78130-2594
US

V. Phone/Fax

Practice location:
  • Phone: 210-495-8280
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number1022816
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1022816
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: