Provider Demographics
NPI:1326594540
Name:GARCIA, NORBERTO (MS, LCDC)
Entity Type:Individual
Prefix:MR
First Name:NORBERTO
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MS, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 N. WARE ROAD
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-6616
Mailing Address - Country:US
Mailing Address - Phone:956-664-0057
Mailing Address - Fax:956-664-2846
Practice Address - Street 1:701 N. WARE ROAD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-6616
Practice Address - Country:US
Practice Address - Phone:956-664-0057
Practice Address - Fax:956-664-2846
Is Sole Proprietor?:No
Enumeration Date:2016-08-28
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11481101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX11481OtherLICENSED CHEMICAL DEPENDENCY LICENSE