Provider Demographics
NPI:1336160852
Name:GARCIA, RAFAEL F (MD)
Entity Type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:F
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3945 IH 69 ACCESS RD
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-4531
Mailing Address - Country:US
Mailing Address - Phone:361-767-8332
Mailing Address - Fax:361-767-1465
Practice Address - Street 1:3945 IH 69 ACCESS RD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78410-4531
Practice Address - Country:US
Practice Address - Phone:361-767-8332
Practice Address - Fax:361-767-1465
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3700207P00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8X7032OtherBCBSTX PIN
TX138031318Medicaid
TX138031308Medicaid
TX8X7032OtherBCBSTX PIN
TXF75210Medicare UPIN
TX138031318Medicaid
TX138031308Medicaid