Basic Information
Provider Information
NPI: 1588166151
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARCIA
FirstName: KARLA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1810 S INDIANA AVE
Address2:  
City: BROWNSVILLE
State: TX
PostalCode: 785217318
CountryCode: US
TelephoneNumber: 9562931112
FaxNumber:  
Practice Location
Address1: 1401 S RANGERVILLE RD
Address2:  
City: HARLINGEN
State: TX
PostalCode: 785527638
CountryCode: US
TelephoneNumber: 9563648000
FaxNumber: 9563648189
Other Information
ProviderEnumerationDate: 02/28/2018
LastUpdateDate: 01/28/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/28/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAP136025TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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