Provider Demographics
NPI:1689725384
Name:GARCIA, LOUIS ALFONSO (DDS)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:ALFONSO
Last Name:GARCIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 40397
Mailing Address - Street 2:UTHSCSA
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-1397
Mailing Address - Country:US
Mailing Address - Phone:956-523-7459
Mailing Address - Fax:
Practice Address - Street 1:2600 CEDAR AVE
Practice Address - Street 2:DENTAL CLINIC
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040-4040
Practice Address - Country:US
Practice Address - Phone:956-523-7500
Practice Address - Fax:956-718-4021
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2024-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX218791223G0001X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No1223G0001XDental ProvidersDentistGeneral Practice