Provider Demographics
NPI:1518542281
Name:GARCIA, JORGE EDUARDO (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JORGE
Middle Name:EDUARDO
Last Name:GARCIA
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3115 SABERCAT AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-3154
Mailing Address - Country:US
Mailing Address - Phone:956-326-9623
Mailing Address - Fax:
Practice Address - Street 1:3115 SABERCAT AVE APT 2
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78542-3154
Practice Address - Country:US
Practice Address - Phone:956-326-9623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA14321363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant