Provider Demographics
NPI:1689153231
Name:GARCIA, KARINA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 W SIOUX RD APT 6301
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-9947
Mailing Address - Country:US
Mailing Address - Phone:956-735-0847
Mailing Address - Fax:
Practice Address - Street 1:5215 S SUGAR RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-0080
Practice Address - Country:US
Practice Address - Phone:956-782-9666
Practice Address - Fax:956-782-6666
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111228235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist