Provider Demographics
NPI:1477824621
Name:GARCIA, IRIS VANESSA (DC)
Entity Type:Individual
Prefix:DR
First Name:IRIS
Middle Name:VANESSA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1907 SAN SABA LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-5733
Mailing Address - Country:US
Mailing Address - Phone:817-845-0716
Mailing Address - Fax:
Practice Address - Street 1:2201 S I-35 E
Practice Address - Street 2:L-22
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-8192
Practice Address - Country:US
Practice Address - Phone:940-484-2525
Practice Address - Fax:512-366-9789
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11943111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor