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Individual

JAZLENE GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
613 ELIZABETH ST, STE 804, CORPUS CHRISTI, TX 78404-2220
(361) 881-3351
(361) 861-9022
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-0996

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
577227
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
366195101
TX
Enumeration date
06/22/2016
Last updated
02/14/2017
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