Provider Demographics
NPI:1902644198
Name:GARCIA, REBECCA (APRN AGNP-C)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:APRN AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2704 GARNET DR
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-9360
Mailing Address - Country:US
Mailing Address - Phone:956-355-6195
Mailing Address - Fax:
Practice Address - Street 1:1200 E RIDGE RD STE 6
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1528
Practice Address - Country:US
Practice Address - Phone:956-331-8150
Practice Address - Fax:956-215-7392
Is Sole Proprietor?:No
Enumeration Date:2024-07-19
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1155517363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology