Provider Demographics
NPI:1558492603
Name:GARCIA, HILDA R (LCSW)
Entity Type:Individual
Prefix:MS
First Name:HILDA
Middle Name:R
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:753 E 16TH ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-4403
Mailing Address - Country:US
Mailing Address - Phone:713-864-3702
Mailing Address - Fax:
Practice Address - Street 1:1504 TAUB LOOP
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1608
Practice Address - Country:US
Practice Address - Phone:713-566-6711
Practice Address - Fax:713-440-1200
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX047941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8C6770Medicare ID - Type UnspecifiedMEDICARE NUMBER
TXS22633Medicare UPIN