MEDICARE: RAUL R GARCIA, M.D., P.A.

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	208800000X	Urology Physician	G7810	TX

General Provider Information

NPI Number	:	1467476135
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAUL R GARCIA, M.D., P.A.

Provider Business Mailing Address
First Line	:	4502 SAO PAULO ST
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77504-2414
Country	:	US
Telephone Number	:	713-944-9170
Fax Number	:	713-944-9310

Provider Business Practice Location Address
First Line	:	3326 WATTERS RD
Second Line	:	BLDG C
City	:	PASADENA
State	:	TX
Zip	:	77504-2020
Country	:	US
Telephone Number	:	713-944-9170
Fax Number	:	713-944-9310

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RAUL R GARCIA
Credential	:	M.D.
Telephone Number	:	713-944-9170

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	04/09/2012

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