Provider Demographics
NPI:1992167779
Name:GARCIA PLAZA, MONICA (CNS)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:GARCIA PLAZA
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:JOAN
Other - Last Name:VIDAURRI PLAZA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10007 HUEBNER RD STE 402
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1640
Mailing Address - Country:US
Mailing Address - Phone:210-692-0361
Mailing Address - Fax:210-593-4066
Practice Address - Street 1:10007 HUEBNER RD STE 402
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1640
Practice Address - Country:US
Practice Address - Phone:210-692-0361
Practice Address - Fax:210-593-4066
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130240364SG0600X, 364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology