Provider Demographics
NPI:1477656445
Name:GARCIA, HENRY R (MSW)
Entity Type:Individual
Prefix:MR
First Name:HENRY
Middle Name:R
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2546 W KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-5147
Mailing Address - Country:US
Mailing Address - Phone:210-736-0851
Mailing Address - Fax:
Practice Address - Street 1:2546 W KINGS HWY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-5147
Practice Address - Country:US
Practice Address - Phone:210-736-0851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX015381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical