Individual
MRS. IRIS E GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN PNP
Contact information
Practice address
410 S. BROADWAY, ELSA, TX 78543
(956) 262-9805
(956) 262-9233
Mailing address
410 S. BROADWAY, ELSA, TX 78543
(956) 262-9805
(956) 262-9233
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
220041063
TX
363L00000X
Nurse Practitioner
Primary
533197
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121084101
—
TX
01
—
121084102
HEALTH STEP
TX
01
—
121392
SUPERIOR HEALTH PLAN
TX
01
—
173560701
MEDICAID GROUP
TX
01
—
74214
TML IEBP
TX
01
—
80314
UNICARE
TX
01
—
8N86548
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/03/2006
Last updated
07/02/2014
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