Provider Demographics
NPI:1063778033
Name:GARCIA, STEPHEN SPENCER (LPO)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:SPENCER
Last Name:GARCIA
Suffix:
Gender:M
Credentials:LPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1139 SE MILITARY DR
Mailing Address - Street 2:SUITE 111
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78214-2866
Mailing Address - Country:US
Mailing Address - Phone:210-610-3400
Mailing Address - Fax:210-927-0007
Practice Address - Street 1:1139 SE MILITARY DR
Practice Address - Street 2:SUITE 111
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78214-2866
Practice Address - Country:US
Practice Address - Phone:210-610-3400
Practice Address - Fax:210-927-0007
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33222Z00000X, 224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist