Provider Demographics
NPI:1235896960
Name:GARCIA, ADAM CARLOS
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:CARLOS
Last Name:GARCIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 E BASSE RD STE 150
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-1804
Mailing Address - Country:US
Mailing Address - Phone:210-822-0270
Mailing Address - Fax:866-539-7733
Practice Address - Street 1:999 E BASSE RD STE 150
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1804
Practice Address - Country:US
Practice Address - Phone:210-822-0270
Practice Address - Fax:866-539-7733
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician