Olaf Russell Garcia
Nurse Practitioner - Gerontology
4495 Wandering Vine Trl
Round Rock
, Texas 78665-1266
Olaf Russell Garcia
Nurse Practitioner - Gerontology
4495 Wandering Vine Trl
Round Rock
, Texas 78665-1266
(310) 600-2751
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Olaf Russell Garcia
- 108 Twin Creek Cir
- Dripping Springs, TX
- Zip : 78620-3021
- Phone : (310) 600-2751
Second Address
- Olaf Russell Garcia
- 4495 Wandering Vine Trl
- Round Rock, TX
- Zip : 78665-1266
- Fax : (512) 777-5974
- Phone : (512) 840-1158
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | AP139504 | TX |
National Provider Identifier
| NPI | 1073178703 |
|---|---|
| Provider Name | Olaf Russell Garcia |
| First Address | Dripping Springs, TX 78620-3021 |
| Second Address | Round Rock, TX 78665-1266 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2019 |
| Last Update Date | 15/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.