Provider Demographics
NPI:1114217866
Name:GARCIA, DORIAN L
Entity Type:Individual
Prefix:
First Name:DORIAN
Middle Name:L
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22526 MILLGATE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-7298
Mailing Address - Country:US
Mailing Address - Phone:832-541-7346
Mailing Address - Fax:281-821-7434
Practice Address - Street 1:22526 MILLGATE DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-7298
Practice Address - Country:US
Practice Address - Phone:832-541-7346
Practice Address - Fax:281-821-7434
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-14
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility