Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | J8544 | TX |
NPI | 1104863141 |
---|---|
Provider Name | Dr. Aimee Dinorah Garcia |
First Address | Houston, TX 77046-0297 |
Second Address | Houston, TX 77030-2305 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 18/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G81401 | (02) | TX |