Provider Demographics
NPI:1437125135
Name:GARCIA, TONY R JR (PA)
Entity Type:Individual
Prefix:MR
First Name:TONY
Middle Name:R
Last Name:GARCIA
Suffix:JR
Gender:M
Credentials:PA
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Mailing Address - Street 1:6950 W DESERT INN RD STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-3171
Mailing Address - Country:US
Mailing Address - Phone:702-259-5550
Mailing Address - Fax:702-259-5554
Practice Address - Street 1:6950 W DESERT INN RD STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-3171
Practice Address - Country:US
Practice Address - Phone:022-595-5507
Practice Address - Fax:702-259-5554
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2022-10-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVPA-C37363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical