Provider Demographics
NPI:1932397064
Name:GARCIA, RUBEN G (PHD)
Entity Type:Individual
Prefix:DR
First Name:RUBEN
Middle Name:G
Last Name:GARCIA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:653 SORRELL ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-2742
Mailing Address - Country:US
Mailing Address - Phone:361-814-4556
Mailing Address - Fax:361-814-4556
Practice Address - Street 1:4444 CORONA DR
Practice Address - Street 2:SUITE 206
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4324
Practice Address - Country:US
Practice Address - Phone:361-814-4556
Practice Address - Fax:361-814-4556
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2579106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist