Provider Demographics
NPI:1659531564
Name:HERBERT I GARFIELD
Entity Type:Organization
Organization Name:HERBERT I GARFIELD
Other - Org Name:GARFIELD MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:I
Authorized Official - Last Name:GARFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-334-3336
Mailing Address - Street 1:404 E SAN MARCOS ST
Mailing Address - Street 2:
Mailing Address - City:PEARSALL
Mailing Address - State:TX
Mailing Address - Zip Code:78061-3226
Mailing Address - Country:US
Mailing Address - Phone:830-334-3336
Mailing Address - Fax:830-334-5574
Practice Address - Street 1:404 E SAN MARCOS ST
Practice Address - Street 2:
Practice Address - City:PEARSALL
Practice Address - State:TX
Practice Address - Zip Code:78061-3226
Practice Address - Country:US
Practice Address - Phone:830-334-3336
Practice Address - Fax:830-334-5574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-13
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD4487207Q00000X, 261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX140307339Medicaid
TX140307339Medicaid
TXB22876Medicare UPIN