Active NPI
Jorge Luis Garcia Jr., LVN
- Licensed Vocational Nurse
- Granbury, TX
National Provider Identifier
1154819530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 203897
- Practice address
- 1208 Pawnee TRL
Granbury, TX 76048-7576 - Phone
- (956) 773-8851
- NPI assigned
- May 1, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 203897 | TX | Primary |
Addresses
Primary practice location
1208 Pawnee TRL
Granbury, TX 76048-7576
Mailing address
PO Box 2101
Granbury, TX 76048-7101
Phone (956) 773-8851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203897 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1154819530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2101",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760487101",
"telephone_number": "956-773-8851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 PAWNEE TRL",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760487576",
"telephone_number": "956-773-8851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "JORGE",
"middle_name": "LUIS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-01",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "203897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.