Provider Demographics
NPI:1417259227
Name:GARCIA, CANDIDO (DC)
Entity Type:Individual
Prefix:
First Name:CANDIDO
Middle Name:
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 1:10318 CHELSEA BROOK LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-2161
Mailing Address - Country:US
Mailing Address - Phone:713-884-5611
Mailing Address - Fax:
Practice Address - Street 1:2028 WIRT RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-1602
Practice Address - Country:US
Practice Address - Phone:713-682-7066
Practice Address - Fax:832-916-2813
Is Sole Proprietor?:No
Enumeration Date:2010-11-30
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6157111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6157OtherSTATE LIC