Individual
CHRISTIAN D GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-7264
(903) 525-1254
Mailing address
2026 S JACKSON ST, JACKSONVILLE, TX 75766-5822
(903) 541-4500
(903) 541-4679
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP132287
TX
363LF0000X
Family Nurse Practitioner
812843
TX
363LF0000X
Family Nurse Practitioner
Primary
AP132287
TX
363LP0200X
Pediatric Nurse Practitioner
812843
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1L1029
MEDICARE
TX
05
—
368361703
—
TX
Enumeration date
08/28/2016
Last updated
05/15/2023
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