Basic Information
| Provider Information | |||||||||
| NPI: | 1376269233 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GARCIA | ||||||||
| FirstName: | MARIA ZULEMA | ||||||||
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| Credential: | AGNP-C, AGPCNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1535 E LOS EBANOS BLVD UNIT 4031 | ||||||||
| Address2: | |||||||||
| City: | BROWNSVILLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785230742 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9564556870 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2686 W ALTON GLOOR BLVD STE 1 | ||||||||
| Address2: | |||||||||
| City: | BROWNSVILLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785204055 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9563505444 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/12/2022 | ||||||||
| LastUpdateDate: | 11/03/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/03/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | 1096554 | TX | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health | 363LP2300X | 1096554 | TX | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Primary Care | 363LG0600X | 1096554 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Gerontology |
No ID Information.