Provider Demographics
NPI:1831732981
Name:GARCIA'S FAMILY WELLNESS CLINIC LLC
Entity type:Organization
Organization Name:GARCIA'S FAMILY WELLNESS CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTEMIO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:361-947-7621
Mailing Address - Street 1:7506 DANIEL KRUG
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-4405
Mailing Address - Country:US
Mailing Address - Phone:361-947-7621
Mailing Address - Fax:210-587-2416
Practice Address - Street 1:7506 DANIEL KRUG
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-4405
Practice Address - Country:US
Practice Address - Phone:361-947-7621
Practice Address - Fax:210-587-2416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-22
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty