Provider Demographics
NPI:1598876583
Name:GARCIA-BEACH, SYLVIA (M D)
Entity Type:Individual
Prefix:MS
First Name:SYLVIA
Middle Name:
Last Name:GARCIA-BEACH
Suffix:
Gender:F
Credentials:M D
Other - Prefix:MRS
Other - First Name:SYLVIA
Other - Middle Name:
Other - Last Name:GARCIA-BEACH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 844658
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-4658
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5000 W SLAUGHTER LN STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-4015
Practice Address - Country:US
Practice Address - Phone:512-654-4000
Practice Address - Fax:512-654-4001
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ2282207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX354744001Medicaid
TX354744002Medicaid
TX354744002Medicaid
TX354744001Medicaid
TX473296YKXYMedicare PIN
F50458Medicare UPIN
IL12650OtherHFN PROVIDER NUMBER
IL2022817945OtherUNITED HEALTHCARE NUMBER
F50458Medicare UPIN
IL2022817945OtherINTERPLAN/PREFERRED PLAN
IL212254Medicare ID - Type Unspecified
IL8025898OtherCIGNA PROVIDER NUMBER