Provider Demographics
NPI:1609812015
Name:GARCIA, EUGENIA (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENIA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EUGENIA
Other - Middle Name:
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2499 S. CAPITAL OF TEXAS HIGHWAY
Mailing Address - Street 2:BUILDING B, SUITE 100
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746
Mailing Address - Country:US
Mailing Address - Phone:512-328-7666
Mailing Address - Fax:512-328-3547
Practice Address - Street 1:2499 S. CAPITAL OF TEXAS HIGHWAY
Practice Address - Street 2:BUILDING B, SUITE 100
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746
Practice Address - Country:US
Practice Address - Phone:512-328-7666
Practice Address - Fax:512-328-3547
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8344208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX169779902OtherTMHP
TX137852309Medicaid
TX137852307Medicaid
TX169779901Medicaid
TX169779901Medicaid