Provider Demographics
NPI:1881784601
Name:GARCIA, EMMANUEL (HEALTH SERVICES TECH)
Entity type:Individual
Prefix:
First Name:EMMANUEL
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:HEALTH SERVICES TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14935 DIAMOND WAY
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-2570
Mailing Address - Country:US
Mailing Address - Phone:281-573-3090
Mailing Address - Fax:
Practice Address - Street 1:1 FERRY RD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-3185
Practice Address - Country:US
Practice Address - Phone:409-766-5661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider