Provider Demographics
NPI:1407849797
Name:GARCIA, CELSO E (DC)
Entity Type:Individual
Prefix:DR
First Name:CELSO
Middle Name:E
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 1:14559 CIRCLEWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-2288
Mailing Address - Country:US
Mailing Address - Phone:713-644-4044
Mailing Address - Fax:713-946-3270
Practice Address - Street 1:8495 GULF FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-5001
Practice Address - Country:US
Practice Address - Phone:713-644-4044
Practice Address - Fax:713-946-3270
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5077111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00848TMedicare ID - Type UnspecifiedGROUP NUMBER
TX8063B8Medicare ID - Type UnspecifiedPROVIDER NUMBER