MEDICARE: DALLAS 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1578991683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALLAS GARCIA

Provider Business Mailing Address
First Line	:	8353 NAIRN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-3824
Country	:	US
Telephone Number	:	832-274-2441
Fax Number	:	281-888-4284

Provider Business Practice Location Address
First Line	:	8353 NAIRN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-3824
Country	:	US
Telephone Number	:	832-274-2441
Fax Number	:	281-888-4284

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DALLAS GARCIA
Credential	:
Telephone Number	:	832-274-2441

Provider Enumeration Date	:	10/29/2013
Last Update Date	:	10/29/2013

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Directions to “DALLAS GARCIA ” Practice Location

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