Provider Demographics
NPI:1275165805
Name:GARCIA, GARRETT ANTHONY (DC)
Entity Type:Individual
Prefix:
First Name:GARRETT
Middle Name:ANTHONY
Last Name:GARCIA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2596 E BARNETT RD STE B
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-4340
Mailing Address - Country:US
Mailing Address - Phone:541-622-8376
Mailing Address - Fax:512-814-1074
Practice Address - Street 1:1103 CYPRESS CREEK RD STE 102
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-3925
Practice Address - Country:US
Practice Address - Phone:512-814-1018
Practice Address - Fax:512-814-1074
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-11
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14365111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor