Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | TXAP137772 | TX |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | TXAP137772 | TX |
N | 363LP0200X | Nurse Practitioner - Pediatrics | TXAP137772 | TX |
N | 363LP2300X | Nurse Practitioner - Primary Care | TXAP137772 | TX |
NPI | 1023590023 |
---|---|
Provider Name | Carlos Antonio-Palting Garcia |
First Address | Round Rock, TX 78664-2817 |
Second Address | Irving, TX 75038-2239 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2018 |
Last Update Date | 08/09/2021 |