Individual
JENNIFER ANN GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
681731
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP117621
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07710788
DRIVER LICENSE
TX
05
—
199729801
—
TX
01
—
681731
STATE LICENSE
TX
01
—
89824U
BCBS
TX
01
—
P00956791
RAILROAD
TX
Enumeration date
01/07/2009
Last updated
06/13/2022
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