Provider Demographics
NPI:1356712020
Name:GARCIA, OSCAR RENE (PA-C)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:RENE
Last Name:GARCIA
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2370 CORPORATE CIR STE 300
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7760
Mailing Address - Country:US
Mailing Address - Phone:702-910-3950
Mailing Address - Fax:702-778-2264
Practice Address - Street 1:4275 BURNHAM AVE STE 270
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-8205
Practice Address - Country:US
Practice Address - Phone:702-888-3221
Practice Address - Fax:702-888-3187
Is Sole Proprietor?:No
Enumeration Date:2015-10-07
Last Update Date:2019-02-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVPA2017363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant