Provider Demographics
NPI:1740434372
Name:GARCIA-MORALES MGMT LLC
Entity type:Organization
Organization Name:GARCIA-MORALES MGMT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-698-6602
Mailing Address - Street 1:23611 IH 10 W
Mailing Address - Street 2:SUITE # 105
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257-1660
Mailing Address - Country:US
Mailing Address - Phone:210-698-6602
Mailing Address - Fax:210-698-6609
Practice Address - Street 1:23611 IH 10 W
Practice Address - Street 2:SUITE # 105
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78257-1660
Practice Address - Country:US
Practice Address - Phone:210-698-6602
Practice Address - Fax:210-698-6609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty