Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0011X | Interventional Cardiology | 27451 | MS |
Y | 207RI0011X | Interventional Cardiology | S0862 | TX |
NPI | 1043586159 |
---|---|
Provider Name | Daniel Garcia |
First Address | Houston, TX 77076-4209 |
Second Address | Houston, TX 77076-4209 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2012 |
Last Update Date | 21/10/2021 |