Provider Demographics
NPI:1215018551
Name:GARCIAQUINTANA, SANDRA (DC)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:
Last Name:GARCIAQUINTANA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 E TYLER AVE
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7135
Mailing Address - Country:US
Mailing Address - Phone:956-423-2000
Mailing Address - Fax:956-423-4441
Practice Address - Street 1:1001 E TYLER AVE
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7135
Practice Address - Country:US
Practice Address - Phone:956-423-2000
Practice Address - Fax:956-423-4441
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8171111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0045GSOtherBCBS
TX8B5620OtherBCBS
TX142961501Medicaid
TX721568050OtherTAX ID
TX142961501Medicaid
TN0045GSOtherBCBS