Healthcare Provider Details

I. General information

NPI: 1518983170
Provider Name (Legal Business Name): GARCIA & ASSOCIATES, CLEAR LAKE.,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 PROFESSIONAL PARK DR
WEBSTER TX
77598-4123
US

IV. Provider business mailing address

15 PROFESSIONAL PARK DR
WEBSTER TX
77598-4123
US

V. Phone/Fax

Practice location:
  • Phone: 281-332-1559
  • Fax: 281-332-3394
Mailing address:
  • Phone: 281-332-1559
  • Fax: 281-332-3394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MS. JENNIFER L LEAL
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 713-453-3521