Doctor Name: | DR. AMY GARCIA |
NPI Number: | 1134224959 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 2002-0259 |
Business Practice Address: | 4901 Lang Ave Ne Suite 203 Albuquerque, NM - 871094495 |
Business Phone Number: | 5055543507 |
Business Fax Number: | 8668815131 |
Mailing Address: | 4901 Lang Ave Ne, Suite 203 ALBUQUERQUE |
State: | NM |
Postal Code: | 871094495 |
Phone Number: | 5055543507 |
Fax Number: | 8668815131 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 05/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2002-0259 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |