Doctor Name: | ELEAZAR GARCIA |
NPI Number: | 1437487337 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PTA |
License Number: | 2011656 |
Business Practice Address: | 713 N Bentsen Palm Dr Ste H Palmview, TX - 785743797 |
Business Phone Number: | 9564241089 |
Business Fax Number: | |
Mailing Address: | 810 E Veterans Blvd Ste B, PALMVIEW |
State: | TX |
Postal Code: | 785725019 |
Phone Number: | 9569605818 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2009 |
NPI Last Update Date: | 12/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 2011656 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |