Provider Demographics
NPI:1912197591
Name:GARCIA, BERNADETTE M (PT)
Entity Type:Individual
Prefix:MRS
First Name:BERNADETTE
Middle Name:M
Last Name:GARCIA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9870 GATEWAY BLVD N
Mailing Address - Street 2:STE B-7
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79924-4425
Mailing Address - Country:US
Mailing Address - Phone:915-751-5245
Mailing Address - Fax:915-751-5255
Practice Address - Street 1:7430 REMCON CIR
Practice Address - Street 2:STE A-110
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-3514
Practice Address - Country:US
Practice Address - Phone:915-584-0051
Practice Address - Fax:915-584-6764
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1175179225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist