Provider Demographics
NPI:1518334622
Name:LOUIS R. GARCIA, D.D.S, P.L.L.C
Entity Type:Organization
Organization Name:LOUIS R. GARCIA, D.D.S, P.L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:210-698-6262
Mailing Address - Street 1:22211 W IH 10
Mailing Address - Street 2:SUITE 1103
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257-1699
Mailing Address - Country:US
Mailing Address - Phone:210-698-6262
Mailing Address - Fax:210-579-7128
Practice Address - Street 1:22211 W IH 10
Practice Address - Street 2:SUITE 1103
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78257-1699
Practice Address - Country:US
Practice Address - Phone:210-698-6262
Practice Address - Fax:210-579-7128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15242122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty