Healthcare Provider Details
I. General information
NPI: 1689874133
Provider Name (Legal Business Name): GARCIA HEALTHCARE PRODUCTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/23/2007
Last Update Date: 07/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
209 S. MAIN ST
AUBREY TX
76227-5531
US
IV. Provider business mailing address
11600 MUSTANG RD
PILOT POINT TX
76258-7718
US
V. Phone/Fax
- Phone: 940-365-5969
- Fax: 940-365-1158
- Phone: 940-365-5969
- Fax: 940-365-1158
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 0058849 |
| License Number State | TX |
VIII. Authorized Official
Name:
CHRIS
HOWE
Title or Position: MANAGER
Credential:
Phone: 940-365-5969