Provider Demographics
NPI:1386834885
Name:JULIO GARCIA MD LTD.
Entity Type:Organization
Organization Name:JULIO GARCIA MD LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-870-0058
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-31
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV5672208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty