Individual
MR. JORGE LUIS GARCIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1208 PAWNEE TRL, GRANBURY, TX 76048-7576
(956) 773-8851
Mailing address
PO BOX 2101, GRANBURY, TX 76048-7101
(956) 773-8851
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
203897
TX
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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