Individual
LOURINE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1325 PENNSYLVANIA AVE STE 690, FORT WORTH, TX 76104-2133
(817) 761-7740
(817) 761-7742
Mailing address
1325 PENNSYLVANIA AVE STE 690, FORT WORTH, TX 76104-2133
(817) 761-7740
(817) 761-7742
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1054345
TX
363LA2100X
Acute Care Nurse Practitioner
71007817A
IN
363LG0600X
Gerontology Nurse Practitioner
1054345
TX
363LG0600X
Gerontology Nurse Practitioner
71007817A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236040271
MEDICARE PTAN
IN
05
—
300011811
—
IN
Enumeration date
01/03/2018
Last updated
12/17/2024
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