Provider Demographics
NPI:1164560090
Name:GARCIA, RICHARD R JR (DC, FNP-BC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:R
Last Name:GARCIA
Suffix:JR
Gender:M
Credentials:DC, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 W LARKSPUR AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-9121
Mailing Address - Country:US
Mailing Address - Phone:956-648-6363
Mailing Address - Fax:
Practice Address - Street 1:900 E ESPERANZA AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-1404
Practice Address - Country:US
Practice Address - Phone:956-928-1967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC8572111N00000X
TX1058907363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX608084OtherBCBS
TX608084OtherBCBS
TX611165Medicare ID - Type Unspecified