MEDICARE: ERIKA YANINA GARCIA PTA

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	174400000X	Specialist	2068027	TX

General Provider Information

NPI Number	:	1831339043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA YANINA GARCIA PTA

Provider Business Mailing Address
First Line	:	5504 HILLMAN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-3807
Country	:	US
Telephone Number	:	832-971-1902
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 WEST LOOP S STE 1525
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-3508
Country	:	US
Telephone Number	:	866-880-8010
Fax Number	:

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

Provider Enumeration Date	:	02/27/2009
Last Update Date	:	08/30/2011

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