Provider Demographics
NPI:1558314138
Name:SOUTH TEXAS INFECTIOUS DISEASES CONSULTANTS, P.A.
Entity Type:Organization
Organization Name:SOUTH TEXAS INFECTIOUS DISEASES CONSULTANTS, P.A.
Other - Org Name:RICARDO GARCIA, M.D., P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:F
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-630-5530
Mailing Address - Street 1:1200 E RIDGE RD
Mailing Address - Street 2:SUITE # 8
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1527
Mailing Address - Country:US
Mailing Address - Phone:956-663-0553
Mailing Address - Fax:956-630-5954
Practice Address - Street 1:1200 E RIDGE RD
Practice Address - Street 2:SUITE # 8
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1527
Practice Address - Country:US
Practice Address - Phone:956-663-0553
Practice Address - Fax:956-630-5954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX166429401Medicaid
TX166429401Medicaid