Basic Information
Provider Information
NPI: 1821186412
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARCIA
FirstName: HECTOR
MiddleName: A
NamePrefix: MR.
NameSuffix:  
Credential: PSY.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4114 MEDICAL DR APT 4207
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782295647
CountryCode: US
TelephoneNumber: 7188017672
FaxNumber:  
Practice Location
Address1: 7400 MERTON MINTER BLVD, PSYCHOLOGY SERVICE (116B)
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 78229
CountryCode: US
TelephoneNumber: 2106175121
FaxNumber: 2109493301
Other Information
ProviderEnumerationDate: 10/10/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700X016921NYY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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