Individual
MR. RAYMOND ERIC GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7196B SAVANNAH ST, 38TH RESCUE SQUADRON, MOODY A F B, GA 31699-1610
(229) 257-3900
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3431
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
958161
TX
Other
Enumeration date
06/02/2009
Last updated
07/01/2024
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