Healthcare Provider Details

I. General information

NPI: 1265685572
Provider Name (Legal Business Name): DONNA L. GARCIA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2008
Last Update Date: 08/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 N SAN SABA STE 103
SAN ANTONIO TX
78207-3196
US

IV. Provider business mailing address

3750 COMMERCIAL AVE
SAN ANTONIO TX
78221-3117
US

V. Phone/Fax

Practice location:
  • Phone: 210-738-8222
  • Fax: 210-738-8644
Mailing address:
  • Phone: 210-334-3700
  • Fax: 210-922-0162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number504894
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: