Provider Demographics
NPI:1760432025
Name:GARCIA, HIRAM LEE (MD)
Entity Type:Individual
Prefix:
First Name:HIRAM
Middle Name:LEE
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 W SAM HOUSTON ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-5224
Mailing Address - Country:US
Mailing Address - Phone:956-783-1400
Mailing Address - Fax:956-783-8818
Practice Address - Street 1:1002 W SAM HOUSTON ST
Practice Address - Street 2:SUITE 4
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-5224
Practice Address - Country:US
Practice Address - Phone:956-783-1400
Practice Address - Fax:956-783-8818
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1856207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1726044-01Medicaid
TXH84091Medicare UPIN
TX8F5043Medicare PIN