Provider Demographics
NPI:1033185970
Name:GARCIA, ANDREW RAY JR (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:RAY
Last Name:GARCIA
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 FM 2920 RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-3109
Mailing Address - Country:US
Mailing Address - Phone:281-353-3544
Mailing Address - Fax:281-288-5566
Practice Address - Street 1:4700 FM 2920 RD
Practice Address - Street 2:SUITE 1
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-3109
Practice Address - Country:US
Practice Address - Phone:281-353-3544
Practice Address - Fax:281-288-5566
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9993111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXV07876Medicare UPIN
TX8F2044Medicare ID - Type Unspecified