Individual
IVAN PEDRO GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, CES
Contact information
Practice address
2200 DENNISON ST, DALLAS, TX 75212-2460
(972) 502-2718
Mailing address
3640 AVENUE J, FORT WORTH, TX 76105-3237
(817) 965-6287
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5961
TX
Other
Enumeration date
09/26/2017
Last updated
03/28/2019
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