Provider Demographics
NPI:1992003552
Name:GARCIA, JESUS ANGEL (PA-C)
Entity type:Individual
Prefix:
First Name:JESUS
Middle Name:ANGEL
Last Name:GARCIA
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 W FM 495 STE A
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589-3717
Mailing Address - Country:US
Mailing Address - Phone:956-223-4052
Mailing Address - Fax:956-658-7147
Practice Address - Street 1:409 W FM 495 STE A
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:TX
Practice Address - Zip Code:78589-3717
Practice Address - Country:US
Practice Address - Phone:956-223-4052
Practice Address - Fax:956-658-7147
Is Sole Proprietor?:No
Enumeration Date:2011-03-07
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical