Eleazar Garcia, PTA
Individual provider Active NPI Physical Therapy Assistant · Palmview, TX
NPI 1437487337 · NPPES record last updated Dec 3, 2009
Key facts
- NPI
- 1437487337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2011656 (TX)
- Practice address
- 713 N Bentsen Palm Dr Ste H
Palmview, TX 78574-3797 - Phone
- (956) 424-1089
- NPI assigned
- Dec 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011656 | TX | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 2011656 | TX | |
| Physical Therapy Assistant | 225200000X | 2011656 | TX | Yes |
Addresses
Primary practice location
713 N Bentsen Palm Dr Ste H
Palmview, TX 78574-3797
Mailing address
810 E Veterans Blvd Ste B
Palmview, TX 78572-5019
Phone (956) 960-5818
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2011656 | Other | TX | PHYSICAL THERAPIST PROVIDER |
Other providers in Palmview, TX
- Five Star Adult Day Care LLC
- Yannelli Flores
- Tiffany Laurel Fox
- Abigail Garcia
- Adilene Garcia
- Estela Garcia
- Melissa Cristal Garcia
- Lorena Garza Uresti
- Eleuterio Garza III
- Elizabeth Garza
All providers in Palmview, TX · Physical Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.