Provider Demographics
NPI:1831159334
Name:GARCIA, JESUS G (MD)
Entity type:Individual
Prefix:DR
First Name:JESUS
Middle Name:G
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:343 W HOUSTON ST
Mailing Address - Street 2:SUITE 606
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205-2107
Mailing Address - Country:US
Mailing Address - Phone:210-224-8374
Mailing Address - Fax:210-224-1229
Practice Address - Street 1:343 W HOUSTON ST
Practice Address - Street 2:SUITE 606
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205-2107
Practice Address - Country:US
Practice Address - Phone:210-224-8374
Practice Address - Fax:210-224-1229
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE5757207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE5757OtherLICENSE
TX127777401Medicaid
TX00AL81Medicare ID - Type Unspecified
TX127777401Medicaid