Individual
MR. ALFONSO GARCIA JR.
Active
Individual
MR. ALFONSO GARCIA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06743
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
928783
REGISTERED DIETITIAN
TX
01
—
DT06743
LICENSED DIETITIAN
TX
Enumeration date
08/31/2006
Last updated
07/08/2007
Update your record
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