Provider Demographics
NPI:1346217643
Name:GARCIA, ALEJANDRO II (MD)
Entity Type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:
Last Name:GARCIA
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4315 MOONLIGHT WAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-1688
Mailing Address - Country:US
Mailing Address - Phone:210-558-1558
Mailing Address - Fax:210-558-1814
Practice Address - Street 1:4315 MOONLIGHT WAY
Practice Address - Street 2:SUITE 102
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-1690
Practice Address - Country:US
Practice Address - Phone:210-558-1558
Practice Address - Fax:210-558-1814
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-06
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7385207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0031MTOtherBCBS OF TEXAS
TX612092Medicare PIN