Provider Demographics
NPI:1861649972
Name:GARCIA, ANTHONY FABRO
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:FABRO
Last Name:GARCIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17884 MAIL ROUTE RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77316-2745
Mailing Address - Country:US
Mailing Address - Phone:936-537-4206
Mailing Address - Fax:
Practice Address - Street 1:17884 MAIL ROUTE RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77316-2745
Practice Address - Country:US
Practice Address - Phone:936-537-4206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10028419207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology