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NPI Code Detail

MEDICARE: DR. LOUIS ALFONSO GARCIA DDS

MEDICARE: DR. LOUIS ALFONSO GARCIA DDS
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
11223G0001XGeneral Practice Dentistry21879TX
21223S0112XOral and Maxillofacial Surgery (Dentist)21879TX

General Provider Information

NPI Number : 1689725384
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOUIS ALFONSO GARCIA DDS
Provider Business Mailing Address
First Line : PO BOX 40397
Second Line : UTHSCSA
City : SAN ANTONIO
State : TX
Zip : 78229-1397
Country : US
Telephone Number : 956-523-7459
Fax Number :
Provider Business Practice Location Address
First Line : 2600 CEDAR AVE
Second Line : DENTAL CLINIC
City : LAREDO
State : TX
Zip : 78040-4040
Country : US
Telephone Number : 956-523-7500
Fax Number : 956-718-4021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2007
Last Update Date : 04/28/2024

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