MEDICARE: DANIEL GARCIA NURSE PRACTITIONER

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	363LF0000X	Family Nurse Practitioner	AP131021	TX

General Provider Information

NPI Number	:	1578910220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL GARCIA NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	13125 EAST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-5803
Country	:	US
Telephone Number	:	713-453-8328
Fax Number	:	713-453-6251

Provider Business Practice Location Address
First Line	:	5760 W LITTLE YORK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77091-1112
Country	:	US
Telephone Number	:	281-707-7359
Fax Number	:

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

Provider Enumeration Date	:	05/23/2016
Last Update Date	:	04/26/2024

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