Provider Demographics
NPI:1124137997
Name:GARCIA, DANIEL HECTOR (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:HECTOR
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7438 S D AVE STE A
Mailing Address - Street 2:
Mailing Address - City:CONCRETE
Mailing Address - State:WA
Mailing Address - Zip Code:98237-9642
Mailing Address - Country:US
Mailing Address - Phone:360-853-8183
Mailing Address - Fax:
Practice Address - Street 1:7438 S D AVE STE A
Practice Address - Street 2:
Practice Address - City:CONCRETE
Practice Address - State:WA
Practice Address - Zip Code:98237-9642
Practice Address - Country:US
Practice Address - Phone:360-853-8183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA19608207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA18289OtherLABOR & INDUSTRIES
WA8598500Medicaid
WA33706OtherREGENCE
WA33706OtherREGENCE
WAGAB20545Medicare PIN