Provider Demographics
NPI:1881589570
Name:GARCIA, GABRIELLA-ANTOINETTE PERFECTO (SLP-CF)
Entity type:Individual
Prefix:
First Name:GABRIELLA-ANTOINETTE
Middle Name:PERFECTO
Last Name:GARCIA
Suffix:
Gender:F
Credentials:SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8105 HOOVERS BND
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-3606
Mailing Address - Country:US
Mailing Address - Phone:210-845-8266
Mailing Address - Fax:210-845-8266
Practice Address - Street 1:8221 PALISADES DR
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-3402
Practice Address - Country:US
Practice Address - Phone:210-600-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123619235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist