Individual provider · Type 1 NPI
Jimmy Tompo Gargar, PMH-NP
Psychiatric/Mental Health Nurse Practitioner · Waco, TX
NPI number
1528403045
Active
Practice location
4800 Memorial Dr
Waco, TX 76711-1329
Mailing address
6717 Mundo Dr
Waco, TX 76712-6668
Other practice locations
- 345 Owen Ln Ste 144A, Waco, TX 76710-5587 · (254) 405-1974
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP12557 (TX) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 148677 (TN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1528403045
Jimmy Tompo Gargar, PMH-NP's National Provider Identifier is 1528403045, issued on May 10, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waco, TX. The record was last updated on Aug 27, 2023.