Healthcare Provider Details

I. General information

NPI: 1356107551
Provider Name (Legal Business Name): MATTHEW NATHANIEL GARCIA FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3860 INTERSTATE HIGHWAY 10 EAST
SAN ANTONIO TX
78220
US

IV. Provider business mailing address

3860 INTERSTATE HIGHWAY 10 EAST
SAN ANTONIO TX
78220
US

V. Phone/Fax

Practice location:
  • Phone: 210-644-5000
  • Fax: 210-702-6926
Mailing address:
  • Phone: 210-644-5000
  • Fax: 210-702-6926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1153779
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: