Provider Demographics
NPI:1326269259
Name:GARCIA, JULIO L (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIO
Middle Name:L
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JULIO
Other - Middle Name:LUIS
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:5735 S FORT APACHE RD STE B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5621
Mailing Address - Country:US
Mailing Address - Phone:702-870-0058
Mailing Address - Fax:702-870-0068
Practice Address - Street 1:5735 S FORT APACHE RD STE B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5621
Practice Address - Country:US
Practice Address - Phone:702-870-0058
Practice Address - Fax:702-870-0068
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV56722086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery