Basic Information
| Provider Information | |||||||||
| NPI: | 1376879890 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GARCIA | ||||||||
| FirstName: | MIRELLA | ||||||||
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| Credential: | R.N. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2827 COTTONWOOD SCHOOL RD | ||||||||
| Address2: | |||||||||
| City: | ROSENBERG | ||||||||
| State: | TX | ||||||||
| PostalCode: | 77471 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2812325931 | ||||||||
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| Practice Location | |||||||||
| Address1: | 16655 SOUTHWEST FWY | ||||||||
| Address2: | |||||||||
| City: | SUGAR LAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774792329 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2812747000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2009 | ||||||||
| LastUpdateDate: | 10/19/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0000X | 679268 | TX | Y | Nursing Service Providers | Registered Nurse | Pain Management |
No ID Information.