Provider Demographics
NPI:1952528309
Name:MARTHA LETICIA GARCIA
Entity type:Organization
Organization Name:MARTHA LETICIA GARCIA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:L
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-550-9001
Mailing Address - Street 1:3505 BOCA CHICA BLVD STE 410
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-4063
Mailing Address - Country:US
Mailing Address - Phone:956-550-9001
Mailing Address - Fax:956-550-9042
Practice Address - Street 1:3505 BOCA CHICA BLVD STE 410
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-4063
Practice Address - Country:US
Practice Address - Phone:956-550-9001
Practice Address - Fax:956-550-9042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0052683747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty