Provider Demographics
NPI:1396867636
Name:HIRAM L. GARCIA, M.D., P.A.
Entity Type:Organization
Organization Name:HIRAM L. GARCIA, M.D., P.A.
Other - Org Name:FAMILY MEDICAL DAY & NIGHT CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-783-1400
Mailing Address - Street 1:1002 W SAM HOUSTON ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-5224
Mailing Address - Country:US
Mailing Address - Phone:956-783-1400
Mailing Address - Fax:956-783-8818
Practice Address - Street 1:1002 W SAM HOUSTON ST
Practice Address - Street 2:SUITE 4
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-5224
Practice Address - Country:US
Practice Address - Phone:956-783-1400
Practice Address - Fax:956-783-8818
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HIRAM L. GARCIA, M.D., P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-06
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1856207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX188156701Medicaid
TX0026PDOtherBCBS OF TX GROUP NUMBER
TX0026PDOtherBCBS OF TX GROUP NUMBER