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NPI Code Detail

MEDICARE: LEDA GUADALUPE GARCIA DNP-PNP

MEDICARE: LEDA GUADALUPE GARCIA DNP-PNP
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
1363LP0200XPediatric Nurse Practitioner1107082TX

General Provider Information

NPI Number : 1104695782
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEDA GUADALUPE GARCIA DNP-PNP
Provider Business Mailing Address
First Line : 217 RUSTIC SPGS
Second Line :
City : UNIVERSAL CITY
State : TX
Zip : 78148-3020
Country : US
Telephone Number : 210-478-2619
Fax Number :
Provider Business Practice Location Address
First Line : 20403 FM 529 RD STE 200
Second Line :
City : CYPRESS
State : TX
Zip : 77433-5379
Country : US
Telephone Number : 281-656-4041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/25/2023
Last Update Date : 06/09/2026

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