Basic Information
| Provider Information | |||||||||
| NPI: | 1467654186 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GARCIA | ||||||||
| FirstName: | RAFAEL | ||||||||
| MiddleName: | EDUARDO | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | APRN, FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1801 2ND ST | ||||||||
| Address2: | |||||||||
| City: | ZAPATA | ||||||||
| State: | TX | ||||||||
| PostalCode: | 780763230 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9567501937 | ||||||||
| FaxNumber: | 9566253045 | ||||||||
| Practice Location | |||||||||
| Address1: | 210 RATHMELL | ||||||||
| Address2: | |||||||||
| City: | ZAPATA | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78076 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9567654367 | ||||||||
| FaxNumber: | 9567654510 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/04/2007 | ||||||||
| LastUpdateDate: | 10/01/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/21/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 684153 | TX | N | Nursing Service Providers | Registered Nurse | 363LF0000X | 684153 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.