Provider Demographics
NPI:1871676940
Name:GARCIA, MICHELLE J (OD)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:J
Last Name:GARCIA
Suffix:
Gender:F
Credentials:OD
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 2706
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-2706
Mailing Address - Country:US
Mailing Address - Phone:956-661-9000
Mailing Address - Fax:956-686-7833
Practice Address - Street 1:2518 W TRENTON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8070
Practice Address - Country:US
Practice Address - Phone:956-661-9000
Practice Address - Fax:956-686-7833
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6667TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist