Provider Demographics
NPI:1790340438
Name:GARCIA, MARCO SAMUEL (DO)
Entity type:Individual
Prefix:DR
First Name:MARCO
Middle Name:SAMUEL
Last Name:GARCIA
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9473 SOCORRO RD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79907-5619
Mailing Address - Country:US
Mailing Address - Phone:915-858-1076
Mailing Address - Fax:915-242-6562
Practice Address - Street 1:9473 SOCORRO RD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79907-5619
Practice Address - Country:US
Practice Address - Phone:915-242-6562
Practice Address - Fax:915-242-6562
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU1672207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine