Provider Demographics
NPI:1326046590
Name:GARCIA, ALEX W (DPM)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:W
Last Name:GARCIA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 N MACARTHUR BLVD
Mailing Address - Street 2:STE 150
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-2219
Mailing Address - Country:US
Mailing Address - Phone:972-253-2560
Mailing Address - Fax:972-253-4218
Practice Address - Street 1:800 W. AIRPORT FREEWAY
Practice Address - Street 2:SUITE 110
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-6207
Practice Address - Country:US
Practice Address - Phone:214-492-1970
Practice Address - Fax:214-441-3039
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1583213EP1101X, 213ES0000X, 213ES0131X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
5416760001OtherMEDICARE RAILROAD PTAN
TX154982601Medicaid
TX1549826 04Medicaid
TX8V4730OtherBCBS ID
TX1549826 04Medicaid
5416760001OtherMEDICARE RAILROAD PTAN
5988300001Medicare NSC
TXTXB122877Medicare PIN