MEDICARE: RAQUEL GARZA VELA FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	AP145200	TX
2	363LF0000X	Family Nurse Practitioner	AP145200	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	3193037	OTHER	TX	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023641818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAQUEL GARZA VELA FNP-C

Provider Business Mailing Address
First Line	:	4617 GREENWOOD DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78416-1742
Country	:	US
Telephone Number	:	361-852-2872
Fax Number	:

Provider Business Practice Location Address
First Line	:	4617 GREENWOOD DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78416-1742
Country	:	US
Telephone Number	:	361-852-2872
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2020
Last Update Date	:	08/26/2022

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Directions to “ RAQUEL GARZA VELA FNP-C” Practice Location

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