Provider Demographics
NPI:1992955496
Name:DR. RENE J GARCIA LLC
Entity type:Organization
Organization Name:DR. RENE J GARCIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:J
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-694-5415
Mailing Address - Street 1:1901 S HWY 183
Mailing Address - Street 2:SUITE C
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-2101
Mailing Address - Country:US
Mailing Address - Phone:512-260-4020
Mailing Address - Fax:
Practice Address - Street 1:1901 S HWY 183
Practice Address - Street 2:SUITE C
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-2101
Practice Address - Country:US
Practice Address - Phone:512-260-4020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-22
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9855111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty