Provider Demographics
NPI:1851388698
Name:GARCIA, ALFREDO TOMAS III (MD)
Entity Type:Individual
Prefix:DR
First Name:ALFREDO
Middle Name:TOMAS
Last Name:GARCIA
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:12121 RICHMOND AVE
Mailing Address - Street 2:STE 309
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2437
Mailing Address - Country:US
Mailing Address - Phone:713-783-5555
Mailing Address - Fax:713-783-4836
Practice Address - Street 1:12121 RICHMOND AVE
Practice Address - Street 2:STE 309
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2432
Practice Address - Country:US
Practice Address - Phone:713-783-5555
Practice Address - Fax:713-783-4836
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-05
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF3468207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00471994OtherRAILROAD MEDICARE
TX099446902Medicaid
TX00MB78OtherBLUE SHIELD
TX00MB78Medicare PIN
C15919Medicare UPIN
060011293Medicare PIN