Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 33 | TX |
Y | 222Z00000X | Podiatrist | 33 | TX |
N | 224P00000X | Prosthetist | 33 | TX |
NPI | 1063778033 |
---|---|
Provider Name | Stephen Spencer Garcia |
First Address | San Antonio, TX 78214-2866 |
Second Address | San Antonio, TX 78214-2866 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2012 |
Last Update Date | 19/11/2014 |