Provider Demographics
NPI:1790307866
Name:GARCIA, DANIEL ADRIAN (SA-C)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:ADRIAN
Last Name:GARCIA
Suffix:
Gender:M
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3710 PIPERS CROSS ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-1610
Mailing Address - Country:US
Mailing Address - Phone:830-854-7127
Mailing Address - Fax:
Practice Address - Street 1:3710 PIPERS CROSS ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-1610
Practice Address - Country:US
Practice Address - Phone:830-854-7127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-12
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant