Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | R4390 | TX |
N | 111NI0900X | Internist | R4390 | TX |
Y | 207RC0000X | Internist - Cardiovascular Disease | R4390 | TX |
NPI | 1013200286 |
---|---|
Provider Name | Marlene Garcia |
First Address | Dallas, TX 75266-0599 |
Second Address | San Antonio, TX 78229-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2011 |
Last Update Date | 17/03/2018 |