MEDICARE: DR. HAE GARCIA DDS

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	1223G0001X	General Practice Dentistry	16762	TX

General Provider Information

NPI Number	:	1972566453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAE GARCIA DDS

Provider Business Mailing Address
First Line	:	PO BOX 9202
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77387-9202
Country	:	US
Telephone Number	:	281-658-4652
Fax Number	:

Provider Business Practice Location Address
First Line	:	7901 RESEARCH FOREST DR
Second Line	:	SUITE 800
City	:	SPRING
State	:	TX
Zip	:	77382-1482
Country	:	US
Telephone Number	:	281-658-4652
Fax Number	:

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

Provider Enumeration Date	:	04/07/2006
Last Update Date	:	06/17/2015

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