Provider Demographics
NPI:1255444949
Name:GARCIA, HENRY FULTON (MD)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:FULTON
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:550 S MESA HILLS DR
Mailing Address - Street 2:STE D3
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-5757
Mailing Address - Country:US
Mailing Address - Phone:915-534-7600
Mailing Address - Fax:915-799-0968
Practice Address - Street 1:550 S MESA HILLS DR
Practice Address - Street 2:STE D3
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-5757
Practice Address - Country:US
Practice Address - Phone:915-534-7600
Practice Address - Fax:915-799-0968
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2022-02-01
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Provider Licenses
StateLicense IDTaxonomies
TXK2155207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1019358-03Medicaid
G70406Medicare UPIN
TX1019358-03Medicaid