Provider Demographics
NPI:1144598947
Name:SAMUEL GARCIA, JR, M.D., P.L.L.C.
Entity Type:Organization
Organization Name:SAMUEL GARCIA, JR, M.D., P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:956-686-6050
Mailing Address - Street 1:4115 PECAN BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-3695
Mailing Address - Country:US
Mailing Address - Phone:956-686-6050
Mailing Address - Fax:956-686-6359
Practice Address - Street 1:4115 PECAN BLVD STE B
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-3695
Practice Address - Country:US
Practice Address - Phone:956-686-6050
Practice Address - Fax:956-686-6359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-07
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty