Provider Demographics
NPI:1013315746
Name:ANDREW R. GARCIA, DC, PLLC
Entity type:Organization
Organization Name:ANDREW R. GARCIA, DC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-353-3544
Mailing Address - Street 1:4700 FM 2920 RD # 1
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-3109
Mailing Address - Country:US
Mailing Address - Phone:281-353-3544
Mailing Address - Fax:281-288-5566
Practice Address - Street 1:4700 FM 2920 RD # 1
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-3109
Practice Address - Country:US
Practice Address - Phone:281-353-3544
Practice Address - Fax:281-288-5566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-11
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9993111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F2044OtherMEDICARE ID
TX8F2044OtherMEDICARE ID