Provider Demographics
NPI:1659441095
Name:GARCIA, DAMIAN DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:DAMIAN
Middle Name:DAVID
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3450 W WHEATLAND RD STE 235
Mailing Address - Street 2:PROFESSIONAL BLDG 2, SUITE 235
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-4428
Mailing Address - Country:US
Mailing Address - Phone:972-224-1122
Mailing Address - Fax:972-224-8084
Practice Address - Street 1:3450 W WHEATLAND RD STE 235
Practice Address - Street 2:PROFESSIONAL BLDG 2, SUITE 235
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-4428
Practice Address - Country:US
Practice Address - Phone:972-224-1122
Practice Address - Fax:972-224-8084
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG8121207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128037207Medicaid
TX351259Medicare PIN
TX128037207Medicaid