MEDICARE: NANCY GARCIA PA-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	363A00000X	Physician Assistant		TX

General Provider Information

NPI Number	:	1710277850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY GARCIA PA-C

Provider Business Mailing Address
First Line	:	8635 LONG POINT RD STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-3037
Country	:	US
Telephone Number	:	713-973-8292
Fax Number	:	713-973-0841

Provider Business Practice Location Address
First Line	:	8635 LONG POINT RD STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-3037
Country	:	US
Telephone Number	:	713-973-8292
Fax Number	:	713-973-0841

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

Provider Enumeration Date	:	04/11/2011
Last Update Date	:	09/25/2019

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