Provider Demographics
NPI:1477796472
Name:J.M. GARCIA MD, PLLC
Entity Type:Organization
Organization Name:J.M. GARCIA MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-852-1550
Mailing Address - Street 1:1601 E ALTON GLOOR BLVD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-3902
Mailing Address - Country:US
Mailing Address - Phone:956-550-9669
Mailing Address - Fax:
Practice Address - Street 1:1601 E ALTON GLOOR BLVD
Practice Address - Street 2:SUITE 109
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-3902
Practice Address - Country:US
Practice Address - Phone:956-550-9669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-07
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A4033Medicare PIN