Provider Demographics
NPI:1467476135
Name:RAUL R GARCIA, M.D., P.A.
Entity Type:Organization
Organization Name:RAUL R GARCIA, M.D., P.A.
Other - Org Name:GULF REGION UROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:R
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-944-9170
Mailing Address - Street 1:4502 SAO PAULO ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-2414
Mailing Address - Country:US
Mailing Address - Phone:713-944-9170
Mailing Address - Fax:713-944-9310
Practice Address - Street 1:3326 WATTERS RD
Practice Address - Street 2:BLDG C
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-2020
Practice Address - Country:US
Practice Address - Phone:713-944-9170
Practice Address - Fax:713-944-9310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7810208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C15887Medicare UPIN