MEDICARE: TRACEY MICHELLE GARCIA FNP

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	1138836	TX
2	207Q00000X	Family Medicine Physician	1138836	TX

General Provider Information

NPI Number	:	1659132934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACEY MICHELLE GARCIA FNP

Provider Business Mailing Address
First Line	:	340 EMERALD SKY PL
Second Line	:
City	:	HORIZON CITY
State	:	TX
Zip	:	79928-2531
Country	:	US
Telephone Number	:	915-777-2050
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 ASCENCION ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79928-9080
Country	:	US
Telephone Number	:	915-465-1191
Fax Number	:

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

Provider Enumeration Date	:	01/23/2024
Last Update Date	:	12/17/2024

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