Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | AP133724 | TX |
NPI | 1376077487 |
---|---|
Provider Name | Karina Garcia |
First Address | El Paso, TX 79934-3123 |
Second Address | El Paso, TX 79902-3351 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2017 |
Last Update Date | 14/04/2017 |