Provider Demographics
NPI:1174819726
Name:GARCIA, PAMELA M (MS)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:M
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MS
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 85
Mailing Address - Street 2:
Mailing Address - City:MARBLE FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:78654-0085
Mailing Address - Country:US
Mailing Address - Phone:361-228-4152
Mailing Address - Fax:
Practice Address - Street 1:204 SHAWNEE ST
Practice Address - Street 2:
Practice Address - City:CHEROKEE
Practice Address - State:TX
Practice Address - Zip Code:76832-2145
Practice Address - Country:US
Practice Address - Phone:361-228-4152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-22
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health