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Individual

ELEAZAR GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
713 N BENTSEN PALM DR STE H, PALMVIEW, TX 78574-3797
(956) 424-1089
Mailing address
810 E VETERANS BLVD STE B, PALMVIEW, TX 78572-5019
(956) 960-5818

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
2011656
TX
225200000X
Physical Therapy Assistant
Primary
2011656
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2011656
PHYSICAL THERAPIST PROVIDER
TX
Enumeration date
12/03/2009
Last updated
12/03/2009
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