Provider Demographics
NPI:1578823282
Name:GARCIA, LUIS FIDEL
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:FIDEL
Last Name:GARCIA
Suffix:
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 1:4900 ALAMEDA AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2802
Mailing Address - Country:US
Mailing Address - Phone:915-779-3362
Mailing Address - Fax:915-881-0340
Practice Address - Street 1:4900 ALAMEDA AVE
Practice Address - Street 2:SUITE E
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2802
Practice Address - Country:US
Practice Address - Phone:915-779-3362
Practice Address - Fax:915-881-0340
Is Sole Proprietor?:No
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory