MEDICARE: ADOLFO GERARDO GARCIA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	E8495	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194723775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADOLFO GERARDO GARCIA M.D.

Provider Business Mailing Address
First Line	:	2325 E SAUNDERS ST
Second Line	:	PLAZA TWO
City	:	LAREDO
State	:	TX
Zip	:	78041-5434
Country	:	US
Telephone Number	:	956-723-4673
Fax Number	:	956-723-3133

Provider Business Practice Location Address
First Line	:	2325 E SAUNDERS ST
Second Line	:	PLAZA TWO
City	:	LAREDO
State	:	TX
Zip	:	78041-5434
Country	:	US
Telephone Number	:	956-723-4673
Fax Number	:	956-723-3133

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	04/22/2025

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