Provider Demographics
NPI:1881468718
Name:GARCIA, STARLA (MED, RD, LD)
Entity type:Individual
Prefix:
First Name:STARLA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MED, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6726 KNOX ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-2212
Mailing Address - Country:US
Mailing Address - Phone:956-784-1910
Mailing Address - Fax:
Practice Address - Street 1:6726 KNOX ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-2212
Practice Address - Country:US
Practice Address - Phone:956-784-1910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT84346133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered