Provider Demographics
NPI:1144574310
Name:RIVER OAKS PSYCHOLOGICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:RIVER OAKS PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MTS
Authorized Official - Phone:713-521-4568
Mailing Address - Street 1:1973 W GRAY ST
Mailing Address - Street 2:STE 2
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-4821
Mailing Address - Country:US
Mailing Address - Phone:713-521-4568
Mailing Address - Fax:
Practice Address - Street 1:1973 W GRAY ST
Practice Address - Street 2:STE 2
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-4821
Practice Address - Country:US
Practice Address - Phone:713-521-4568
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-08
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36323103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty