Provider Demographics
NPI:1336221365
Name:GARCIA, FRANK JAVIER (LSA-C)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:JAVIER
Last Name:GARCIA
Suffix:
Gender:M
Credentials:LSA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9412 DIVISADERO RD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-9545
Mailing Address - Country:US
Mailing Address - Phone:956-459-4433
Mailing Address - Fax:
Practice Address - Street 1:9412 DIVISADERO RD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-9545
Practice Address - Country:US
Practice Address - Phone:956-459-4433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00206246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist