Provider Demographics
NPI:1922006881
Name:GARCIA, PEDRO E JR (MD)
Entity Type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:E
Last Name:GARCIA
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:805 N CAGE BLVD
Mailing Address - Street 2:STE B
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-3109
Mailing Address - Country:US
Mailing Address - Phone:956-961-4577
Mailing Address - Fax:956-961-4506
Practice Address - Street 1:713 N BENTSEN PALM DR
Practice Address - Street 2:H
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78574-3796
Practice Address - Country:US
Practice Address - Phone:956-519-3400
Practice Address - Fax:956-519-3402
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-13
Last Update Date:2016-08-17
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Provider Licenses
StateLicense IDTaxonomies
TXE4345207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122573202Medicaid
TXC15915Medicare UPIN
TX122573202Medicaid