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Provider Information for 1316546385


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PAOLA GUADALUPE GARCIA


Sex: Female

NPI: 1316546385
Last Updated: 2024-02-13
Certification Date: 2024-02-13

Details

NameValue
NPI1316546385
Enumeration Date2020-10-21
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 8338 MIDLAND LN
DALLAS, TX 75217-8850
United States

Phone: | Fax:
 
Primary Practice Address 8338 MIDLAND LN
DALLAS, TX 75217-8850
United States

Phone: 214-862-2012 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 193400000X - Single Specialty Group
106H00000X - Marriage & Family Therapist
TX203195
No 101YM0800X - Counselor - Mental HealthTX203195