Provider Demographics
NPI:1417137316
Name:GARCIA, OSCAR (PA)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 SANCTI SPIRITUS ST
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-1901
Mailing Address - Country:US
Mailing Address - Phone:956-639-7044
Mailing Address - Fax:
Practice Address - Street 1:1200 CENTRAL BLVD
Practice Address - Street 2:SUITE A-3
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-7542
Practice Address - Country:US
Practice Address - Phone:956-548-0001
Practice Address - Fax:956-548-1787
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA01093363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPA01093OtherPA01093