Provider Demographics
NPI:1225037930
Name:GARCIA, MANUEL M (MD)
Entity Type:Individual
Prefix:
First Name:MANUEL
Middle Name:M
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1100 MCCULLOUGH AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-4813
Mailing Address - Country:US
Mailing Address - Phone:210-271-3204
Mailing Address - Fax:210-222-2761
Practice Address - Street 1:94 BRIGGS ST
Practice Address - Street 2:SUITE 600
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1221
Practice Address - Country:US
Practice Address - Phone:210-923-7736
Practice Address - Fax:210-923-7100
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2022-02-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH6229207RC0000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00948197OtherRAILROAD
TX8CU323OtherBCBS
TX060048633OtherRAILROAD MEDICARE
TX84852GOtherBCBS
TX131731509Medicaid
TX8CU323OtherBCBS
TX131731509Medicaid
TX060048633OtherRAILROAD MEDICARE
TX060048633OtherRAILROAD MEDICARE
TX131731508Medicaid
TX8CU323OtherBCBS
TX84852GOtherBCBS