Individual
MR. LOUIS GARCIA MANCHA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
PO BOX 3548, AUSTIN, TX 78764-3548
(210) 774-4965
Mailing address
11800 BRAESVIEW APT 3711, SAN ANTONIO, TX 78213-4874
(210) 878-5632
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
320013
TX
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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