Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | N1643 | TX |
Y | 208600000X | Surgeon | N1643 | TX |
N | 2086S0122X | Plastic and Reconstructive Surgery | N1643 | TX |
NPI | 1073717237 |
---|---|
Provider Name | Cecilia Alejandra Garcia De Mitchell |
First Address | San Antonio, TX 78229-3735 |
Second Address | San Antonio, TX 78229-3735 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2007 |
Last Update Date | 17/11/2016 |