Provider Demographics
NPI:1225335383
Name:GARCIA, MARY K (LAC)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:K
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2028 ADDISON RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1220
Mailing Address - Country:US
Mailing Address - Phone:713-528-1741
Mailing Address - Fax:713-942-7963
Practice Address - Street 1:929 GESSNER RD
Practice Address - Street 2:1500
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2515
Practice Address - Country:US
Practice Address - Phone:713-528-1741
Practice Address - Fax:713-942-7963
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00702171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00702OtherTX LAC