Provider Demographics
NPI:1710405857
Name:GARCIA, JOE MICHAEL JR
Entity type:Individual
Prefix:MR
First Name:JOE
Middle Name:MICHAEL
Last Name:GARCIA
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 S MASON RD STE 514
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3874
Mailing Address - Country:US
Mailing Address - Phone:210-324-9197
Mailing Address - Fax:281-391-6415
Practice Address - Street 1:925 S MASON RD STE 514
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3874
Practice Address - Country:US
Practice Address - Phone:210-324-9197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-08
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-17-26523103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst