Provider Demographics
NPI:1972566453
Name:GARCIA, HAE (DDS)
Entity type:Individual
Prefix:DR
First Name:HAE
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:DDS
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 9202
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77387-9202
Mailing Address - Country:US
Mailing Address - Phone:281-658-4652
Mailing Address - Fax:
Practice Address - Street 1:7901 RESEARCH FOREST DR
Practice Address - Street 2:SUITE 800
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77382-1482
Practice Address - Country:US
Practice Address - Phone:281-658-4652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-07
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX167621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice