MEDICARE: DR. CELSO E GARCIA D.C.

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	111N00000X	Chiropractor	5077	TX

General Provider Information

NPI Number	:	1407849797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CELSO E GARCIA D.C.

Provider Business Mailing Address
First Line	:	14559 CIRCLEWOOD WAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-2288
Country	:	US
Telephone Number	:	713-644-4044
Fax Number	:	713-946-3270

Provider Business Practice Location Address
First Line	:	8495 GULF FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77017-5001
Country	:	US
Telephone Number	:	713-644-4044
Fax Number	:	713-946-3270

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

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	07/08/2007

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