Provider Demographics
NPI:1710405857
Name:GARCIA, JOE MICHAEL JR
Entity Type:Individual
Prefix:MR
First Name:JOE
Middle Name:MICHAEL
Last Name:GARCIA
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24811 WESTHEIMER PKWY
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7319
Mailing Address - Country:US
Mailing Address - Phone:281-391-6401
Mailing Address - Fax:281-391-6415
Practice Address - Street 1:24811 WESTHEIMER PKWY
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7319
Practice Address - Country:US
Practice Address - Phone:281-391-6401
Practice Address - Fax:281-391-6415
Is Sole Proprietor?:No
Enumeration Date:2017-09-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-17-26523103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst