Provider Demographics
NPI:1497795546
Name:GARCIA, EDUARDO IGNACIO (MD)
Entity Type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:IGNACIO
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:914 W ANDERSON LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1546
Mailing Address - Country:US
Mailing Address - Phone:512-454-7631
Mailing Address - Fax:512-454-7998
Practice Address - Street 1:914 W ANDERSON LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1546
Practice Address - Country:US
Practice Address - Phone:512-454-7631
Practice Address - Fax:512-454-7998
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF3978208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice