MEDICARE: OLEVIA GARCIA 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	363LF0000X	Family Nurse Practitioner	AP126619	TX

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	:	1801290499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLEVIA GARCIA FNP-C

Provider Business Mailing Address
First Line	:	23139 N WATERLAKE DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-9614
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	23139 N WATERLAKE DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-9614
Country	:	US
Telephone Number	:	713-397-3701
Fax Number	:

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

Provider Enumeration Date	:	10/10/2014
Last Update Date	:	11/30/2016

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