Provider Demographics
NPI:1003251877
Name:GARCIA, TAMMY R (LAC)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:R
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3445 EXECUTIVE CENTER DR
Mailing Address - Street 2:SUITE 229
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1680
Mailing Address - Country:US
Mailing Address - Phone:512-814-5570
Mailing Address - Fax:
Practice Address - Street 1:3445 EXECUTIVE CENTER DR
Practice Address - Street 2:SUITE 229
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-1680
Practice Address - Country:US
Practice Address - Phone:512-814-5570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01386171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist