OLAF RUSSELL GARCIA NPI 1073178703

NPI Information

NPI: 1073178703
Provider Name: OLAF RUSSELL GARCIA
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
4495 WANDERING VINE TRL
ROUND ROCK, TX
ZIP 78665
Phone: (512) 840-1158
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Olaf Russell Garcia is a gerontology nurse practitioner in Round Rock, TX with 2 years of experience. Olaf Russell Garcia NPI is 1073178703. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4495 WANDERING VINE TRL
ROUND ROCK, TX
ZIP 78665-266
Phone: (512) 840-1158
Fax: (512) 777-5974

The NPI 1073178703 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/8/2019 and was last updated on 12/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SG0600X	Clinical Nurse Specialist	Gerontology	AP139504	TEXAS	No
2	363LG0600X	Nurse Practitioner	Gerontology	AP139504	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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