Provider Demographics
NPI:1144391426
Name:RICARDO GARCIA D.D.S.,M.S.,P.A.
Entity Type:Organization
Organization Name:RICARDO GARCIA D.D.S.,M.S.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS,MS,PA
Authorized Official - Phone:956-631-2881
Mailing Address - Street 1:1608 N 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-2436
Mailing Address - Country:US
Mailing Address - Phone:956-631-2881
Mailing Address - Fax:956-631-6564
Practice Address - Street 1:1608 N 8TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2436
Practice Address - Country:US
Practice Address - Phone:956-631-2881
Practice Address - Fax:956-631-6564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13873305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX090769303Medicaid