Provider Demographics
NPI:1689978066
Name:JOHN J GARCIA, MD, PA
Entity Type:Organization
Organization Name:JOHN J GARCIA, MD, PA
Other - Org Name:DR JOHN J GARCIA, MD PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:210-655-7271
Mailing Address - Street 1:12315 JUDSON RD STE 118
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78233-3263
Mailing Address - Country:US
Mailing Address - Phone:210-655-7271
Mailing Address - Fax:210-655-7539
Practice Address - Street 1:12315 JUDSON RD STE 118
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-3263
Practice Address - Country:US
Practice Address - Phone:210-655-7271
Practice Address - Fax:210-655-7539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00R67UMedicare UPIN