Provider Demographics
NPI:1316688690
Name:GARCIA-MOUHON, MARCIA (DC)
Entity type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:
Last Name:GARCIA-MOUHON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3520 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77017-2218
Mailing Address - Country:US
Mailing Address - Phone:713-643-6737
Mailing Address - Fax:713-643-6565
Practice Address - Street 1:3520 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-2218
Practice Address - Country:US
Practice Address - Phone:713-643-6737
Practice Address - Fax:713-643-6565
Is Sole Proprietor?:No
Enumeration Date:2022-04-02
Last Update Date:2022-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14944111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner