MEDICARE: ERIC GARCIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	112081	TX

General Provider Information

NPI Number	:	1164958880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC GARCIA

Provider Business Mailing Address
First Line	:	7320 PLUMWOOD DR
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-7800
Country	:	US
Telephone Number	:	817-793-6380
Fax Number	:

Provider Business Practice Location Address
First Line	:	7320 PLUMWOOD DR
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-7800
Country	:	US
Telephone Number	:	817-793-6380
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2017
Last Update Date	:	05/02/2017

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