Provider Demographics
NPI:1528596285
Name:GARCIA, ALEXANDER II
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:GARCIA
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1687 W LODGE WAY APT 100A
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72701-5084
Mailing Address - Country:US
Mailing Address - Phone:479-259-7162
Mailing Address - Fax:
Practice Address - Street 1:1687 W LODGE WAY APT 100A
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72701-5084
Practice Address - Country:US
Practice Address - Phone:479-259-7162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator