Provider Demographics
NPI:1942564810
Name:GARCIA, MARIO ALBERTO (CASE MANAGEMENT)
Entity Type:Individual
Prefix:MR
First Name:MARIO
Middle Name:ALBERTO
Last Name:GARCIA
Suffix:
Gender:M
Credentials:CASE MANAGEMENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 530404
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78553-0404
Mailing Address - Country:US
Mailing Address - Phone:956-312-3787
Mailing Address - Fax:
Practice Address - Street 1:1414 S RANGERVILLE RD
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78552-7637
Practice Address - Country:US
Practice Address - Phone:956-312-3787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68829101YP2500X, 171M00000X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator