Jimmie Lynn Garcia, PHLEBOTOMIST NRCPT

Individual provider Active NPI Clinical Medical Laboratory · Scurry, TX

NPI 1295923456 · NPPES record last updated Oct 11, 2007

Key facts

NPI
1295923456
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Medical Laboratory 291U00000X
License
33936637413013105 (TX)
Practice address
9412 FM 1390
Scurry, TX 75158-2512
Phone
(972) 486-3397
Fax
(972) 486-3397
NPI assigned
Oct 11, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
33936637413013105TXMDClinical Medical Laboratory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 33936637413013105 TX Yes

Addresses

Primary practice location

9412 FM 1390
Scurry, TX 75158-2512

Mailing address

9412 FM 1390
Scurry, TX 75158-2512
Phone (972) 486-3397

Other providers in Scurry, TX

All providers in Scurry, TX · Clinical Medical Laboratory in Texas

Sources for this page

Verify at the official NPI Registry.