Individual
MARIA IMELDA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 W 49TH ST, AUSTIN, TX 78756-3101
(512) 776-7500
(512) 776-7489
Mailing address
1100 W 49TH ST, AUSTIN, TX 78756-3101
(512) 776-7500
(512) 776-7489
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32-0113643
—
TX
05
—
320113643
—
TX
Enumeration date
12/21/2020
Last updated
12/21/2020
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