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NPI Code Detail

MEDICARE: TOMICA L GARNETT LVN

MEDICARE:   TOMICA L GARNETT  LVN
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
1164W00000XLicensed Practical Nurse339226TX

General Provider Information

NPI Number : 1821749938
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOMICA L GARNETT LVN
Provider Business Mailing Address
First Line : 3603 QUAIL RIDGE DR
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548-2745
Country : US
Telephone Number : 915-227-8946
Fax Number :
Provider Business Practice Location Address
First Line : 3603 QUAIL RIDGE DR
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548-2745
Country : US
Telephone Number : 915-227-8946
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2022
Last Update Date : 01/11/2022

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Directions to “ TOMICA L GARNETT LVN” Practice Location

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