Provider Demographics
NPI:1851065668
Name:GARCIA, JESSIE ENRIQUE SR
Entity Type:Individual
Prefix:
First Name:JESSIE
Middle Name:ENRIQUE
Last Name:GARCIA
Suffix:SR
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 1:5414 KNOLL TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1235
Mailing Address - Country:US
Mailing Address - Phone:713-702-7031
Mailing Address - Fax:
Practice Address - Street 1:5414 KNOLL TERRACE DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-1235
Practice Address - Country:US
Practice Address - Phone:713-702-7031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance