MEDICARE: FERNANDO GARCIA GONZALEZ 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	9411	TX

General Provider Information

NPI Number	:	1568988848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FERNANDO GARCIA GONZALEZ D.C.

Provider Business Mailing Address
First Line	:	8101 AIRPORT BLVD STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77061-4138
Country	:	US
Telephone Number	:	832-916-7642
Fax Number	:	832-518-1599

Provider Business Practice Location Address
First Line	:	8101 AIRPORT BLVD STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77061-4138
Country	:	US
Telephone Number	:	832-916-7642
Fax Number	:	832-518-1599

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

Provider Enumeration Date	:	08/17/2017
Last Update Date	:	07/21/2022

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