Doctor Name: | ENRIQUE GARCIA |
NPI Number: | 1891898482 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | F1025 |
Business Practice Address: | 130 Water St Pleasanton, TX - 78064 |
Business Phone Number: | 8305695030 |
Business Fax Number: | |
Mailing Address: | 130 Water St, PLEASANTON |
State: | TX |
Postal Code: | 78064 |
Phone Number: | 8305695030 |
Fax Number: | |
NPI Enumeration Date: | 09/07/2006 |
NPI Last Update Date: | 05/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | F1025 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |