Individual
MISS BIANCA ELISA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 E 22ND ST, BROWNSVILLE, TX 78521-2956
(956) 542-8504
(956) 542-6510
Mailing address
1901 E 22ND ST, BROWNSVILLE, TX 78521-2956
(956) 542-8504
(956) 542-6510
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113782
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169033101
—
TX
05
—
286091804
—
TX
05
—
286091805
—
TX
01
—
45-4849
MEDICARE
TX
Enumeration date
10/13/2010
Last updated
06/13/2024
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