Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 3037 | TX |
NPI | 1508387549 |
---|---|
Provider Name | Dr. Barton Chase Garcia |
First Address | Victoria, TX 77901-3948 |
Second Address | Victoria, TX 77901-3948 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2017 |
Last Update Date | 01/09/2020 |