Provider Demographics
NPI:1891318085
Name:GARCIA, ARVIN NICOLAS MIRAVITE (NP)
Entity type:Individual
Prefix:MR
First Name:ARVIN NICOLAS
Middle Name:MIRAVITE
Last Name:GARCIA
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16711 GREAT OAKS HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-1641
Mailing Address - Country:US
Mailing Address - Phone:832-517-8444
Mailing Address - Fax:
Practice Address - Street 1:439 MASON PARK BLVD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-6241
Practice Address - Country:US
Practice Address - Phone:281-896-8915
Practice Address - Fax:281-861-4139
Is Sole Proprietor?:No
Enumeration Date:2020-05-21
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145735363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily