Individual
JANG GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6400 PASEO DEL NORTE BLVD NE, ALBEQUERQUE, NM 87113-1718
(505) 596-2100
(505) 596-2180
Mailing address
PO BOX 26666, ALBEQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2021-0040
—
363AM0700X
Medical Physician Assistant
Primary
PA7636
MA
Other
Enumeration date
04/26/2020
Last updated
07/13/2021
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