Provider Demographics
NPI:1558398990
Name:GARCIA, FELIPE JR (M D)
Entity Type:Individual
Prefix:DR
First Name:FELIPE
Middle Name:
Last Name:GARCIA
Suffix:JR
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 W BELKNAP ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76102-1803
Mailing Address - Country:US
Mailing Address - Phone:817-632-5000
Mailing Address - Fax:817-632-5007
Practice Address - Street 1:1615 W OLEANDER ST
Practice Address - Street 2:SUITE A
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4025
Practice Address - Country:US
Practice Address - Phone:817-632-5000
Practice Address - Fax:817-632-5007
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH51402081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00K50MMedicare PIN
TXE23818Medicare UPIN