Provider Demographics
NPI:1326478579
Name:GARCIA FAMILY MEDICINE & WOMEN'S HEALTH
Entity Type:Organization
Organization Name:GARCIA FAMILY MEDICINE & WOMEN'S HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:C
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-867-2065
Mailing Address - Street 1:514 N 7 HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64014-2733
Mailing Address - Country:US
Mailing Address - Phone:816-867-2065
Mailing Address - Fax:888-807-2718
Practice Address - Street 1:514 N 7 HWY
Practice Address - Street 2:SUITE B
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014-2733
Practice Address - Country:US
Practice Address - Phone:816-867-2065
Practice Address - Fax:888-807-2718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-24
Last Update Date:2013-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000160495261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center