Provider Demographics
NPI:1104234715
Name:THOMAS-GARCIA, REGINA (BS,CHES)
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:
Last Name:THOMAS-GARCIA
Suffix:
Gender:F
Credentials:BS,CHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 15033
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77220-5033
Mailing Address - Country:US
Mailing Address - Phone:346-812-4455
Mailing Address - Fax:713-533-8731
Practice Address - Street 1:9001 AIRPORT BLVD STE 604
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77061-3446
Practice Address - Country:US
Practice Address - Phone:346-812-4455
Practice Address - Fax:713-533-8731
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-27
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X, 251B00000X, 104100000X, 251S00000X, 174H00000X
TX3463172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker
No251B00000XAgenciesCase Management
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health