Provider Demographics
NPI:1972781318
Name:HERBERT I GARFIELD
Entity Type:Organization
Organization Name:HERBERT I GARFIELD
Other - Org Name:GARFIELD MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:I
Authorized Official - Last Name:GARFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-879-2279
Mailing Address - Street 1:408 NORTH GIRAUD
Mailing Address - Street 2:
Mailing Address - City:COTULLA
Mailing Address - State:TX
Mailing Address - Zip Code:78014-3113
Mailing Address - Country:US
Mailing Address - Phone:830-879-2279
Mailing Address - Fax:830-879-2235
Practice Address - Street 1:408 NORTH GIRAUD
Practice Address - Street 2:
Practice Address - City:COTULLA
Practice Address - State:TX
Practice Address - Zip Code:78014-3113
Practice Address - Country:US
Practice Address - Phone:830-879-2279
Practice Address - Fax:830-879-2235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD4487261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB22876Medicare UPIN
TX458927Medicare Oscar/Certification