Provider Demographics
NPI:1922064831
Name:GARCIA, LUIS FRANCISCO (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:FRANCISCO
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 N ALABAMA ST
Mailing Address - Street 2:
Mailing Address - City:CROSSETT
Mailing Address - State:AR
Mailing Address - Zip Code:71635-2810
Mailing Address - Country:US
Mailing Address - Phone:870-364-4181
Mailing Address - Fax:870-364-4889
Practice Address - Street 1:306 N ALABAMA ST
Practice Address - Street 2:
Practice Address - City:CROSSETT
Practice Address - State:AR
Practice Address - Zip Code:71635-2810
Practice Address - Country:US
Practice Address - Phone:870-364-4181
Practice Address - Fax:870-364-4889
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-5482207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR100965001Medicaid
AR51803Medicare ID - Type Unspecified
AR100965001Medicaid