Provider Demographics
NPI:1316182660
Name:GARCIA, ANGELA RENEE
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:RENEE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10500 HERITAGE BLVD
Mailing Address - Street 2:STE 265
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-3629
Mailing Address - Country:US
Mailing Address - Phone:210-918-1000
Mailing Address - Fax:210-918-1001
Practice Address - Street 1:10500 HERITAGE BLVD
Practice Address - Street 2:STE 265
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-3629
Practice Address - Country:US
Practice Address - Phone:210-918-1000
Practice Address - Fax:210-918-1001
Is Sole Proprietor?:No
Enumeration Date:2008-12-15
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor