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 1:100 E RIDGE RD STE A
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1346
Mailing Address - Country:US
Mailing Address - Phone:956-682-1888
Mailing Address - Fax:956-661-2208
Practice Address - Street 1:100 E RIDGE RD STE A
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1346
Practice Address - Country:US
Practice Address - Phone:956-682-1888
Practice Address - Fax:956-661-2208
Is Sole Proprietor?:No
Enumeration Date:2011-03-07
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical