Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 29606 | NE |
Y | 2080A0000X | Adolescent Medicine | 29606 | NE |
NPI | 1154711844 |
---|---|
Provider Name | Megan Garcia |
First Address | Fort Sam Houston, TX 78234-4504 |
Second Address | Fort Sam Houston, TX 78234-4504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2015 |
Last Update Date | 21/12/2021 |