Provider Demographics
NPI:1083798599
Name:GARCIA, BALDEMAR JR (LMSW)
Entity Type:Individual
Prefix:
First Name:BALDEMAR
Middle Name:
Last Name:GARCIA
Suffix:JR
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 730
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78551-0730
Mailing Address - Country:US
Mailing Address - Phone:956-425-6033
Mailing Address - Fax:956-425-6033
Practice Address - Street 1:28217 BASS BLVD
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78552-2139
Practice Address - Country:US
Practice Address - Phone:956-425-6033
Practice Address - Fax:956-425-6033
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20998171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator