Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 4059DC | TX |
N | 111NS0005X | Chiropractic Sports Physician | 4059DC | TX |
N | 111NX0100X | Occupational Health | 4059DC | TX |
NPI | 1932189289 |
---|---|
Provider Name | Dr. Jesus E Garcia |
First Address | Houston, TX 77017-2321 |
Second Address | Houston, TX 77017-2321 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2006 |
Last Update Date | 08/07/2007 |