Healthcare Provider Details

I. General information

NPI: 1982473252
Provider Name (Legal Business Name): VICKY ANN GARCIA APRN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2023
Last Update Date: 12/27/2023
Certification Date: 12/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 S COLLINS RD STE 300
SUNNYVALE TX
75182-4642
US

IV. Provider business mailing address

270 S COLLINS RD STE 300
SUNNYVALE TX
75182-4642
US

V. Phone/Fax

Practice location:
  • Phone: 469-864-7586
  • Fax: 469-864-7571
Mailing address:
  • Phone: 469-864-7586
  • Fax: 469-864-7571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1141447
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: