Provider Demographics
NPI:1003405432
Name:GARCIA, MONIQUE (TECH)
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:TECH
Other - Prefix:MRS
Other - First Name:MONIQUE
Other - Middle Name:
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:TECH
Mailing Address - Street 1:1004 N TEXAS BLVD
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-4511
Mailing Address - Country:US
Mailing Address - Phone:956-968-8825
Mailing Address - Fax:956-968-7421
Practice Address - Street 1:1004 N TEXAS BLVD
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-4511
Practice Address - Country:US
Practice Address - Phone:956-968-8825
Practice Address - Fax:956-968-7421
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician