Provider Demographics
NPI:1386278869
Name:GARCIA, DANA (PTA)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4470 E HIGHWAY 287 STE 800
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-7555
Mailing Address - Country:US
Mailing Address - Phone:972-903-9057
Mailing Address - Fax:972-852-9073
Practice Address - Street 1:4470 E HIGHWAY 287 STE 800
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-7555
Practice Address - Country:US
Practice Address - Phone:972-903-9057
Practice Address - Fax:972-852-9073
Is Sole Proprietor?:No
Enumeration Date:2020-02-24
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2152261225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant